Organization
CAROLINA PHYSICAL THERAPY ASSOCIATES LLC
Active
Other names
CORA Physical Therapy - Leesville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD C ROUSH (EXECUTIVE VICE PRESIDENT)
(419) 221-6712
Entity
Organization
Contact information
Practice address
13200 STRICKLAND RD STE 134, RALEIGH, NC 27613-5214
(919) 557-3017
(919) 557-3748
Mailing address
1110 SHAWNEE RD, LIMA, OH 45805-3529
(419) 221-6720
(419) 222-0507
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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