Organization
VENTRE PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH VENTRE (OWNER PHYSICAL THERAPY GROUP)
(910) 392-3770
Entity
Organization
Contact information
Practice address
4706 OLEANDER DR, WILMINGTON, NC 28403-5107
(910) 392-3770
Mailing address
4706 OLEANDER DR, WILMINGTON, NC 28403-5107
(910) 392-3770
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
225100000X 6378
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285669788
INDIVIDUAL # NPI
NC
01
—
2502326B
MEDICARE PERFORMING #
NC
Enumeration date
07/11/2007
Last updated
09/09/2010
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