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Organization
PROPEL PEDIATRIC THERAPY
Active
Organization
PROPEL PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA RING (OWNER)
(336) 404-1684
Entity
Organization
Contact information
Practice address
1130D SNOW BRIDGE LN, KERNERSVILLE, NC 27284-8411
(336) 904-0467
Mailing address
1130D SNOW BRIDGE LN, KERNERSVILLE, NC 27284-8411
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P14225
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7212106
—
NC
Enumeration date
10/20/2016
Last updated
10/20/2016
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