Organization
BRUNSWICK PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC DEYOUNG (CEO)
(502) 609-4872
Entity
Organization
Contact information
Practice address
20 MEDICAL CAMPUS DR NW STE 204, SUPPLY, NC 28462-4094
(910) 755-5861
(910) 755-5865
Mailing address
121 ALHAMBRA PLZ, CORAL GABLES, FL 33134-4540
(502) 609-4872
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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