Organization
UNTAPPED POTENTIAL PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY EISENBEIS PT (PHYSICAL THERAPIST/ OWNER)
(704) 692-1087
Entity
Organization
Contact information
Practice address
1230 SE MAYNARD RD, SUITE 102, CARY, NC 27511-6945
(919) 659-8542
Mailing address
1230 SE MAYNARD RD, SUITE 102, CARY, NC 27511-6945
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
P10783
NC
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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