Individual
JONATHAN HAIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
8470 FALLS OF NEUSE RD, SUITE 106, RALEIGH, NC 27615-3500
(919) 803-0738
Mailing address
8470 FALLS OF NEUSE RD, SUITE 106, RALEIGH, NC 27615-3500
(919) 803-0738
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15895
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15895
NC PT LICENSE NUMBER
—
Enumeration date
12/07/2015
Last updated
12/07/2015
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