Organization
AVILA PHYSICAL THERAPY FOR WOMENS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYSON DAUGHERTY (ONWER/PT)
(252) 215-5225
Entity
Organization
Contact information
Practice address
308 GREENVILLE BLVD SE, SUITE B-3, GREENVILLE, NC 27858-5758
(252) 215-5225
(252) 215-5226
Mailing address
308 GREENVILLE BLVD SE, SUITE B-3, GREENVILLE, NC 27858-5758
(252) 215-5225
(252) 215-5226
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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