Organization
PROFESSIONAL PHYSICAL THERAPY & REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANE A. PERSON DPT (OWNER)
(910) 438-9701
Entity
Organization
Contact information
Practice address
825 GUM BRANCH RD, SUITE 127, JACKSONVILLE, NC 28540-6298
(910) 438-9701
Mailing address
825 GUM BRANCH RD, SUITE 127, JACKSONVILLE, NC 28540-6298
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
9366
NC
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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