Individual
MR. JOHANNES PETRUS DUPLESSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1115 MILITARY CUTOFF RD, SUITE A, WILMINGTON, NC 28405-3970
(910) 256-6999
(910) 256-4777
Mailing address
1115 MILITARY CUTOFF RD, SUITE A, WILMINGTON, NC 28405-3970
(910) 256-6999
(910) 256-4777
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6968
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079NR
BCBS
NC
01
—
11458735
CAQH
NC
01
—
16536
BCBS NC
NC
01
—
2672919
CIGNA
NC
01
—
713168
UNITED HEALTHCARE
—
01
—
7999659
AETNA
NC
01
—
E2215
MEDCOST
NC
Enumeration date
03/06/2007
Last updated
01/14/2014
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