Organization
AT HOME PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SCOTT BETHUNE DPT (OWNER/PT)
(919) 412-1183
Entity
Organization
Contact information
Practice address
1163 COOK SCHOOL RD, PILOT MOUNTAIN, NC 27041-7606
(919) 412-1183
Mailing address
2421 ROLLING TRACKS RD, WILLOW SPRING, NC 27592-8301
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174968424
—
NC
Enumeration date
04/30/2013
Last updated
12/30/2022
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