Organization
JOSEPH LIBERA PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH VICTOR LIBERA PT (PHYSICAL THERAPIST)
(336) 684-0500
Entity
Organization
Contact information
Practice address
209 S WILLIAMSON AVE, ELON, NC 27244-9252
(336) 684-0500
(336) 684-0500
Mailing address
209 S WILLIAMSON AVE, ELON, NC 27244-9252
(336) 684-0500
(336) 684-0500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85-2519943
—
NC
Enumeration date
03/10/2021
Last updated
03/11/2021
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