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Organization
PHYSICAL THERAPY SERVICES OF WILMINGTON AT PORTER'S NECK, LLC
Active
Organization
PHYSICAL THERAPY SERVICES OF WILMINGTON AT PORTER'S NECK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL SIMMERMAN DPT (PART OWNER)
(910) 297-9714
Entity
Organization
Contact information
Practice address
167 PORTERS NECK ROAD, SUITE D, SUITE D, WILMINGTON, NC 28411
(910) 297-9714
Mailing address
1776 S 17TH ST, WILMINGTON, NC 28401-6442
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NC
225100000X
Physical Therapist
—
—
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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