Organization
CAPITAL CITY HEALTH CARE PROVIDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C KELLER MS, PT (PRESIDENT)
(919) 781-3978
Entity
Organization
Contact information
Practice address
4601 LAKE BOONE TRL STE 2E, RALEIGH, NC 27607-7518
(919) 781-3978
Mailing address
4601 LAKE BOONE TRL STE 2E, RALEIGH, NC 27607-7518
(919) 781-3978
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6950
NC
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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