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Individual

FRANK J IRVIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1103 N CHURCH ST, GREENSBORO, NC 27401-1008
(336) 275-2285
(336) 275-2286
Mailing address
2701 HENRY ST, GREENSBORO, NC 27405-3669
(336) 375-4263
(336) 375-4262

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
889
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
250413
MEDICARE PHYSICAL THERAPY
NC
Enumeration date
10/18/2006
Last updated
06/02/2008
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