Individual
MAXX BARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6523 VAUGHN RD, FAYETTEVILLE, NC 28304-6006
(910) 723-8723
Mailing address
6523 VAUGHN RD, FAYETTEVILLE, NC 28304-6006
(910) 723-8723
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2116150
TX
225200000X
Physical Therapy Assistant
Primary
5654
NC
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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