Organization
ENC PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OTTIS MATTHEW CRISP III (OWNER)
(678) 249-5762
Entity
Organization
Contact information
Practice address
1100 WEST 5TH STREET, WASHINGTON, NC 27889
(678) 249-5762
Mailing address
1100 WEST 5TH STREET, WASHINGTON, NC 27889
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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