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Organization

SALT & LIGHT PHYSICAL THERAPY AND WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JORDAN RACKLEY MARTINE PT, DPT (OWNER)
(252) 327-8475
Entity
Organization

Contact information

Practice address
5917 OLEANDER DR STE 106, WILMINGTON, NC 28403-4709
(910) 970-4023
Mailing address
5813 WRIGHTSVILLE AVE APT 155, WILMINGTON, NC 28403-6526
(252) 327-8574

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
01/08/2024
Last updated
06/23/2025
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