Organization
PROVISIONS PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL PATTERSON BROWN B.S., PT (PHYSICAL THERAPIST)
(919) 353-4499
Entity
Organization
Contact information
Practice address
1456 CAROLINA DR, SANFORD, NC 27332-7341
(919) 353-4499
Mailing address
PO BOX 639, SANFORD, NC 27331-0639
(919) 353-4499
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2908
NC
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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