Organization
INCREDIBLE TECHNOLOGY INC. DBA LASER HEALING THERAPY
Active
Other names
Laser Healing Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY RUSSELL BOYCE LASER THERAPIST (PRESIDENT)
(910) 769-1356
Entity
Organization
Contact information
Practice address
1602 HARBOUR DR, WILMINGTON, NC 28401-7716
(910) 769-1356
Mailing address
1602 HARBOUR DR, WILMINGTON, NC 28401-7716
(910) 769-1356
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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