Organization
PREMIER PHYSICAL THERAPY & SPORTS REHAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN CAREY KARR PHYSICAL THERAPIST (PRESIDENT/DIRECTOR OF PT)
(919) 280-5530
Entity
Organization
Contact information
Practice address
5838 SIX FORKS RD, RALEIGH, NC 27609
(919) 280-5530
Mailing address
5838 SIX FORKS RD, RALEIGH, NC 27609
(919) 847-1100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4124
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649369851
INDIVIDUAL NPI
NC
01
—
785Y
BLUE CROSS BLUE SHIELD
NC
Enumeration date
12/31/2007
Last updated
01/23/2009
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