Individual
CAROL S WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
4107 NEWGATE ST, FAYETTEVILLE, NC 28306-7589
(910) 364-5153
Mailing address
4107 NEWGATE ST, FAYETTEVILLE, NC 28306-7589
(910) 364-5153
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2532
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7210319
—
NC
Enumeration date
05/05/2006
Last updated
10/10/2014
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