Organization
FORUM PHYSICAL THERAPY, LLC
Active
Organization
FORUM PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY LEE HICKS P.T. (OWNER)
(336) 250-8260
Entity
Organization
Contact information
Practice address
280 N TALBERT BLVD, LEXINGTON, NC 27292-4143
(336) 250-8260
Mailing address
280 N TALBERT BLVD, LEXINGTON, NC 27292-4143
(336) 250-8260
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7330
NC
Other
Enumeration date
10/18/2010
Last updated
11/03/2010
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