Organization
YOUR HOME PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS D FRIE MAPT (PRESIDENT)
(919) 267-3114
Entity
Organization
Contact information
Practice address
101 BRYCE MEADOW DR, HOLLY SPRINGS, NC 27540-6218
(919) 267-3114
Mailing address
101 BRYCE MEADOW DR, HOLLY SPRINGS, NC 27540-6218
(919) 267-3114
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2504248
MEDICARE PTAN
NC
Enumeration date
07/19/2006
Last updated
01/28/2009
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