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Individual

JONATHAN MICHAEL BELK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
4140 RAMSEY ST, SUITE 111, FAYETTEVILLE, NC 28311-7672
(910) 920-4903
(910) 920-4910
Mailing address
981 HIGH HOUSE RD, SUITE 100, CARY, NC 27513-3510
(919) 388-0111
(919) 388-8668

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P16142
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P16142
NC STATE LICENSE
NC
Enumeration date
02/10/2016
Last updated
02/10/2016
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