Organization
EVOLVE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BREWER DPT (OWNER)
(910) 617-9934
Entity
Organization
Contact information
Practice address
2205 N GRASSLAND DR, FUQUAY VARINA, NC 27526-6894
(910) 617-9934
Mailing address
2420 DEERMIST WAY, FUQUAY VARINA, NC 27526-5304
(910) 617-9934
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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