Individual
TED KUPSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 LAMBERT RD, BISCOE, NC 27209-9002
(910) 428-2117
Mailing address
1637 TROTTERS RIDGE RD, STANFIELD, NC 28163-9310
(704) 244-1490
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5124
NC
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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