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Individual

DR. SIBU KAPPUMKAL VARGHESE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
162 LEGACY OAKS DR # 2102, KNIGHTDALE, NC 27545-6556
(919) 373-1799
Mailing address
5131 ISTRIAN WAY APT 302, RALEIGH, NC 27610-7160
(847) 942-3003

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
P21256
NC
2251S0007X
Sports Physical Therapist
P21256
NC
2251X0800X
Orthopedic Physical Therapist
Primary
P21256
NC

Other

Enumeration date
05/18/2022
Last updated
05/18/2022
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