Organization
ADVANCED THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN CONLY PT (MANAGER)
(919) 846-9668
Entity
Organization
Contact information
Practice address
8300 FALLS OF NEUSE RD, STE 104, RALEIGH, NC 27615
(919) 846-9668
(919) 846-9663
Mailing address
8300 FALLS OF NEUSE RD, STE 104, RALEIGH, NC 27615
(919) 846-9668
(919) 846-9663
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2957
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211368
—
NC
Enumeration date
08/14/2006
Last updated
02/26/2008
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