Organization
DENALI THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY OF PT (MEMBER MANAGER)
(704) 771-9153
Entity
Organization
Contact information
Practice address
1407 SKYLER DR, WAXHAW, NC 28173-6762
(704) 771-9153
(704) 353-7246
Mailing address
1407 SKYLER DR, WAXHAW, NC 28173-6762
(704) 771-9153
(704) 353-7246
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
9608
NC
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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