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Organization
PROACTIVE PHYSICAL THERAPY & PERFORMANCE LLC
Active
Organization
PROACTIVE PHYSICAL THERAPY & PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEANDRA COTTEN PT, DPT (OWNER, PHYSICAL THERAPIST)
(910) 922-0126
Entity
Organization
Contact information
Practice address
3607 FALLS RIVER AVE STE 111, RALEIGH, NC 27614-7365
(919) 378-1923
Mailing address
1637 HOLLOMAN DR, FAYETTEVILLE, NC 28312-9321
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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