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Organization
PRIME PHYSICAL THERAPY, LLC
Active
Organization
PRIME PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMEDA DORIA (MEMBER/ORGANIZER)
(862) 216-3931
Entity
Organization
Contact information
Practice address
5157 HOLLY RIDGE FARM RD, RALEIGH, NC 27616-6105
(862) 216-3931
Mailing address
5157 HOLLY RIDGE FARM RD, RALEIGH, NC 27616-6105
(862) 216-3931
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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