Individual
ELIZABETH HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6752 PARKER FARM DR, SUITE 1B, WILMINGTON, NC 28405-3175
(910) 679-4095
(910) 338-1760
Mailing address
6752 PARKER FARM DR, SUITE 1B, WILMINGTON, NC 28405-3175
(910) 679-4095
(910) 338-1760
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
P12597
NC
2251X0800X
Orthopedic Physical Therapist
Primary
P12597
NC
Other
Enumeration date
05/21/2007
Last updated
02/14/2012
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