Organization
REBEL PT, LLC
Active
Other names
Rebel PT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY SMIACH DPT (OWNER/PHYSICAL THERAPIST)
(814) 533-1009
Entity
Organization
Contact information
Practice address
511 BROAD ST, FUQUAY VARINA, NC 27526-1707
(814) 533-1009
Mailing address
1204 LONDON MEADOW WAY, FUQUAY VARINA, NC 27526-4788
(815) 533-1009
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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