Organization
PRUITTHEALTH THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CASPER (PHYSICAL THERAPIST ASSISTANT)
(252) 493-2712
Entity
Organization
Contact information
Practice address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(252) 753-5547
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(252) 753-5547
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1292
NC
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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