Organization
CENTRAL CAROLINA PHYSICAL THERAPY
Active
Organization
CENTRAL CAROLINA PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH CANNADY (BUSINESS MANAGER)
(252) 492-2504
Entity
Organization
Contact information
Practice address
451 RUIN CREEK RD, SUITE 104, HENDERSON, NC 27536-2878
(252) 492-2504
Mailing address
451 RUIN CREEK RD, SUITE 104, HENDERSON, NC 27536-2878
(252) 492-2504
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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