Individual
MR. VIRGIL PAUL FRUTH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3551 FORESTDALE DR APT LA, BURLINGTON, NC 27215-4488
(704) 682-7673
Mailing address
3551 FORESTDALE DR APT LA, BURLINGTON, NC 27215-4488
(704) 682-7673
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5186
NC
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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