Organization
IRON VARSITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLTON WALKER OWCZARZAK PT, DPT (OWNER MANAGER)
(831) 524-2966
Entity
Organization
Contact information
Practice address
5132 DOUGHTYMEWS LN, FUQUAY VARINA, NC 27526-7672
(831) 524-2966
Mailing address
5132 DOUGHTYMEWS LN, FUQUAY VARINA, NC 27526-7672
(831) 524-2966
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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