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Organization
REVIVE PHYSIOTHERAPY AND WELLNESS
Active
Organization
REVIVE PHYSIOTHERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY CHILDRESS OSCHWALD PT, DPT, COMT (OWNER & PHYSICAL THERAPIST)
(919) 670-1310
Entity
Organization
Contact information
Practice address
4125 LAUREL HILLS RD, RALEIGH, NC 27612-5411
(919) 670-1310
Mailing address
4125 LAUREL HILLS RD, RALEIGH, NC 27612-5411
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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