Individual
JOSEPH M MYRACLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1572 SAND HILL RD STE 101, CANDLER, NC 28715-0470
(828) 552-5342
(828) 641-9303
Mailing address
1106 WALNUT ST, SAN LUIS OBISPO, CA 93401-2416
(805) 788-0805
(805) 788-0845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P16859
NC
Other
Enumeration date
07/30/2018
Last updated
03/23/2021
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