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Organization
PHYSICAL THERAPY ASSOCIATES OF WILKES LLC
Active
Organization
PHYSICAL THERAPY ASSOCIATES OF WILKES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ROBERT RUSSELL PT (PT PARTNER)
(336) 903-9293
Entity
Organization
Contact information
Practice address
1915 WEST PARK DRIVE, PHYSICAL THEARPY ASSOCIATES OF WILKES LLC SUITE 102, NORTH WILKESBORO, NC 28659
(336) 903-9293
(336) 903-9295
Mailing address
1915 WEST PARK DRIVE, PHYSICAL THEARPY ASSOCIATES OF WILKES LLC SUITE 102, NORTH WILKESBORO, NC 28659
(336) 903-9293
(336) 903-9295
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7210768
—
NC
Enumeration date
10/26/2006
Last updated
07/10/2024
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