Organization
SELECT PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY COLSON PHELPS PT (PHYSICAL THERAPIST)
(252) 335-2087
Entity
Organization
Contact information
Practice address
615 S HUGHES BLVD STE B, ELIZABETH CITY, NC 27909-4784
(252) 335-2087
(252) 335-2682
Mailing address
615 S HUGHES BLVD STE B, ELIZABETH CITY, NC 27909-4784
(252) 335-2087
(252) 335-2682
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
10768
NC
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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