Organization
GENESIS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH DANIEL WEST P.T.A. (PHYSICAL THERAPIST ASSISTANT)
(910) 740-4297
Entity
Organization
Contact information
Practice address
1011 PORTERS NECK RD, WILMINGTON, NC 28411-9196
(910) 686-7195
Mailing address
1011 PORTERS NECK RD, WILMINGTON, NC 28411-9196
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5727
NC
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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