Individual
BETHANY GRACE BUZZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27710-4699
(919) 681-4380
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-4917
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P14890
NM
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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