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Organization
SOARR-STEPS ON A ROAD TO RECOVERY
Active
Organization
SOARR-STEPS ON A ROAD TO RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COURTNEY BROOKE WALLACE (PHYSICAL THERAPIST)
(919) 601-0149
Entity
Organization
Contact information
Practice address
3601 WINDEMERE PL, RALEIGH, NC 27604-5961
(919) 874-2081
Mailing address
9802 CARVEL CT, RALEIGH, NC 27613-5754
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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