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Organization

OUTER BANKS PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMY M DOUGHERTY (OWNER/PHYSICAL THERAPY)
(252) 255-5348
Entity
Organization

Contact information

Practice address
102 PINNACLE CT, KITTY HAWK, NC 27949-5911
(252) 255-5348
Mailing address
102 PINNACLE CT, KITTY HAWK, NC 27949-5911
(252) 255-5348

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2399
NC

Other

Enumeration date
11/19/2007
Last updated
08/20/2010
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