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Organization
MOUNT OLIVE PHYSICAL THERAPY LLC
Active
Organization
MOUNT OLIVE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ADAM LIVENGOOD MPT (OWNER)
(919) 635-4500
Entity
Organization
Contact information
Practice address
232 SMITH CHAPEL RD, MOUNT OLIVE, NC 28365-1917
(919) 635-4500
(919) 635-4999
Mailing address
232 SMITH CHAPEL RD, MOUNT OLIVE, NC 28365-1917
(919) 635-4500
(919) 635-4999
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8724
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7212357
—
NC
Enumeration date
02/28/2007
Last updated
05/23/2016
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