Organization
MICHAEL JAY FULLER
Active
Other names
Angier Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JAY FULLER (BUSINESS OWNER)
(919) 331-1189
Entity
Organization
Contact information
Practice address
149C LOGAN CT, ANGIER, NC 27501-8579
(919) 331-1189
(919) 331-2425
Mailing address
149C LOGAN CT, ANGIER, NC 27501-8579
(919) 331-1189
(919) 331-2425
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/23/2010
Last updated
01/12/2011
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