# CAROLINA PHYSICAL THERAPY ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CORA Physical Therapy - Leesville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386121606
- **Authorized official:** MR. BRAD C ROUSH (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (419) 221-6712

## Contact information

- **Practice address:** 13200 STRICKLAND RD STE 134, RALEIGH, NC 27613-5214
- **Practice address phone:** (919) 557-3017
- **Practice address fax:** (919) 557-3748
- **Mailing address:** 1110 SHAWNEE RD, LIMA, OH 45805-3529
- **Mailing address phone:** (419) 221-6720
- **Mailing address fax:** (419) 222-0507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/20/2018
- **Last updated:** 07/20/2018