Organization
RADIANCE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MBONG HENRY PT, DPT (MANAGER)
(919) 983-6330
Entity
Organization
Contact information
Practice address
9 RICHMOND CT, DURHAM, NC 27713-8376
(443) 858-1931
Mailing address
9 RICHMOND CT, DURHAM, NC 27713-8376
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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