Organization
PROPEL PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA RING PT (OWNER)
(336) 404-1684
Entity
Organization
Contact information
Practice address
1125 PINE KNOLLS RD, KERNERSVILLE, NC 27284-8232
(336) 497-3072
(336) 497-3072
Mailing address
1125 PINE KNOLLS RD, KERNERSVILLE, NC 27284-8232
(336) 497-3072
(336) 497-3072
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
10601
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7212106
—
NC
Enumeration date
12/01/2010
Last updated
12/01/2010
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