Organization
AGE WELL NC LLC
Active
Organization
AGE WELL NC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA PELTON PT (PHYSICAL THERAPIST/OWNER)
(908) 507-8219
Entity
Organization
Contact information
Practice address
1610 DUNN PL, HILLSBOROUGH, NC 27278-7721
(908) 507-8219
Mailing address
1610 DUNN PL, HILLSBOROUGH, NC 27278-7721
(908) 507-8219
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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