Organization
CAROLINA'S REGIONAL THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY DAVID LETEXIER (OWNER)
(980) 229-1621
Entity
Organization
Contact information
Practice address
1102 FLAGSTONE LN, APT. 105, INDIAN TRAIL, NC 28079-8456
(980) 229-1621
Mailing address
1102 FLAGSTONE LN., APT. 105, INDIAN TRAIL, NC 28079
(980) 229-1621
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3215
NC
Other
Enumeration date
05/31/2010
Last updated
05/31/2010
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