Organization
EVOLUTION PHYSICAL THERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE J MATHERS PT, OCS, FAAOMPT (PHYSICAL THERAPIST)
(919) 349-0321
Entity
Organization
Contact information
Practice address
160 MACGREGOR PINES DR, CARY, NC 27511-6036
(919) 349-0321
Mailing address
111 DONNA PL, CARY, NC 27513-5304
(919) 349-0321
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
P9357
NC
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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