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Organization
REVOLUTION INCORPORATED
Active
Organization
REVOLUTION INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREMAYNE T THURMAN AS, MRS, OTR/L (MANAGING DIRECTOR)
(910) 491-5164
Entity
Organization
Contact information
Practice address
5860 YADKIN RD, FAYETTEVILLE, NC 28303-2668
(910) 491-5164
(910) 229-3227
Mailing address
5310 YADKIN RD, FAYETTEVILLE, NC 28303-3255
(910) 491-5164
(910) 229-3227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9225
NC
225X00000X
Occupational Therapist
5574
NC
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/08/2018
Last updated
01/23/2023
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