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Organization
TRIANGLE ELECTRODIAGNOSTICS & PHYSICAL THERAPY LLC
Active
Organization
TRIANGLE ELECTRODIAGNOSTICS & PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A VITA JR. (OWNER)
(919) 624-2358
Entity
Organization
Contact information
Practice address
4208 OAKTHORNE WAY, RALEIGH, NC 27613-5922
(919) 624-2358
Mailing address
4208 OAKTHORNE WAY, RALEIGH, NC 27613-5922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251E1300X
Clinical Electrophysiology Physical Therapist
—
—
Other
Enumeration date
02/22/2013
Last updated
03/01/2013
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