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Organization
REVOLUTION INCORPORATED
Active
Organization
REVOLUTION INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREMAYNE THURMAN (DIRECTOR OF CLINICAL OPERATIONS)
(910) 401-9210
Entity
Organization
Contact information
Practice address
5310 YADKIN RD, FAYETTEVILLE, NC 28303-3255
(910) 988-6974
(910) 425-4956
Mailing address
5310 YADKIN RD, FAYETTEVILLE, NC 28303-3255
(910) 988-6974
(910) 425-4956
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9225
NC
225X00000X
Occupational Therapist
5574
NC
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/11/2007
Last updated
01/23/2023
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