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Organization

DRIVE PHYSIOTHERAPY AND PERFORMANCE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD WETHERALD DPT (OWNER, PHYSICAL THERAPIST)
(252) 574-6144
Entity
Organization

Contact information

Practice address
43 W 11TH ST, ROANOKE RAPIDS, NC 27870-3715
(252) 574-6144
(252) 221-6290
Mailing address
43 W 11TH ST, ROANOKE RAPIDS, NC 27870-3715
(252) 574-6144
(252) 221-6290

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
08/02/2022
Last updated
08/02/2022
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