Organization
SPINE ORTHOPAEDICS & SPORTS PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH JOHN SPORES M.S.P.T. (PRESIDENT)
(919) 967-2345
Entity
Organization
Contact information
Practice address
101 CONNER DR, SUITE 200, CHAPEL HILL, NC 27514-7038
(919) 967-2345
(919) 967-3860
Mailing address
101 CONNER DR, SUITE 200, CHAPEL HILL, NC 27514-7038
(919) 967-2345
(919) 967-3860
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2007
Last updated
04/22/2008
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