Organization
IDEAS INVESTED, L.L.C.
Active
Other names
True Abilities Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TALISA R BANNERMAN-LEE PT, DPT (OWNER/PHYSICAL THERAPIST)
(910) 789-9568
Entity
Organization
Contact information
Practice address
211 W WILLIAMS ST, BURGAW, NC 28425-5331
(910) 789-9568
Mailing address
211 W WILLIAMS ST, BURGAW, NC 28425-5331
(910) 789-9568
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10066
NC
Other
Enumeration date
08/17/2009
Last updated
03/02/2010
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