Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
May 17, 2006
License(s)
9169 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 501 EXECUTIVE PL | Fayetteville, NC 28305-5390 | 910-423-5550 |
| LOCATION | 501 EXECUTIVE PL | Fayetteville, NC 28305-5390 | 910-423-5550 |
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