Organization
CAROLINA BEACH PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE JEAN ETHERINGTON PT (OWNER)
(910) 309-8141
Entity
Organization
Contact information
Practice address
1300 BRIDGE BARRIER RD STE 3, CAROLINA BEACH, NC 28428-3939
(910) 309-8141
Mailing address
1300 BRIDGE BARRIER RD, BLDG 3, CAROLINA BEACH, NC 28428-4808
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2017
Last updated
08/01/2017
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