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Organization
CAROLINA PRIME PHYSICAL THERAPY
Active
Organization
CAROLINA PRIME PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT FORREST PT COMT (OWNER)
(336) 990-1028
Entity
Organization
Contact information
Practice address
200 W PARK CIR STE A, NORTH WILKESBORO, NC 28659-3583
(336) 818-2700
(336) 450-1700
Mailing address
343 FOREST GLEN LN, WILKESBORO, NC 28697-7000
(336) 990-1028
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
P10047
NC
261QR0400X
Rehabilitation Clinic/Center
8609
NC
261QR0400X
Rehabilitation Clinic/Center
P10047
NC
Other
Enumeration date
07/09/2018
Last updated
08/20/2023
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