Organization
ADVANCED PHYSICAL THERAPY OF CLINTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SKULAVIK (OWNER)
(919) 300-5040
Entity
Organization
Contact information
Practice address
317 NORTH BLVD, CLINTON, NC 28328-1911
(910) 249-4040
(910) 249-9250
Mailing address
317 NORTH BLVD, CLINTON, NC 28328
(910) 249-4040
(910) 249-9250
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
10731
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598177214
—
NC
Enumeration date
05/29/2014
Last updated
10/28/2015
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