Organization
ROANOKE THERAPEUTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EARLE EUGENE BARNARD PT (PRESIDENT)
(252) 792-7908
Entity
Organization
Contact information
Practice address
115 WEST BLVD, WILLIAMSTON, NC 27892
(252) 792-7908
Mailing address
PO BOX 1181, WILLIAMSTON, NC 27892
(252) 792-7908
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1231
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7202579
—
NC
Enumeration date
11/06/2006
Last updated
08/22/2020
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