Organization
INNOVATIVE THERAPY SERVICES LLC
Active
Other names
INNOVATIVE THERAPY & WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY P INGRAM (OPERATOR)
(252) 633-6335
Entity
Organization
Contact information
Practice address
1030 BROAD CREEK RD, NEW BERN, NC 28560-7102
(252) 633-6335
(252) 635-1130
Mailing address
1030 BROAD CREEK RD, NEW BERN, NC 28560-7102
(252) 633-6335
(252) 635-1130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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