Organization
WILSON PHYSICAL THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROSCOE WAYLON JOYNER PT (PRESIDENT)
(252) 338-4099
Entity
Organization
Contact information
Practice address
806 W EHRINGHAUS ST, ELIZABETH CITY, NC 27909-6935
(252) 338-4099
(252) 338-4096
Mailing address
110 PELICAN POINTE DR, ELIZABETH CITY, NC 27909-7764
(252) 338-4099
(252) 338-4096
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1080
NC
Other
Enumeration date
11/22/2007
Last updated
11/22/2007
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