Individual
ALEX J STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4139 WEDGE DR, PFAFFTOWN, NC 27284
(336) 392-2420
Mailing address
4139 WEDGE DR, PFAFFTOWN, NC 27040-9709
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P12524
NC
Other
Enumeration date
09/06/2018
Last updated
02/19/2020
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