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Organization
WILSON PHYSICAL THERAPY AND PERFORMANCE, LLC
Active
Organization
WILSON PHYSICAL THERAPY AND PERFORMANCE, LLC
Active
Other names
Village Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MCLEOD WILSON JR. PT, DPT (MEMBER/MANAGER)
(919) 557-9200
Entity
Organization
Contact information
Practice address
251 W CENTER ST, HOLLY SPRINGS, NC 27540-5900
(919) 577-9200
Mailing address
PO BOX 1361, HOLLY SPRINGS, NC 27540-1361
(919) 577-9200
(919) 577-9292
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02NGE
BCBS
NC
Enumeration date
10/06/2008
Last updated
09/02/2025
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