Individual
ALKE SOPHIE ABBEY
Active
Individual
ALKE SOPHIE ABBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9169
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07PYG
BLUE CROSS BLUE SHIELD NC
NC
01
—
125357800
TRICARE
NC
01
—
185562
MEDCOST
NC
Enumeration date
05/17/2006
Last updated
03/06/2014
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