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150 Francam Dr Ste 124, Fayetteville, NC 28311-4500 | |
(910) 797-2148 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 150 Francam Dr Ste 124, Fayetteville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740069533 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Jamie C Clapp |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205123429 PECOS PAC ID: 6305095407 Enrollment ID: I20240112003638 |
Provider Name | Michelle Dawn Green |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417719923 PECOS PAC ID: 2062851934 Enrollment ID: I20240411004813 |
Provider Name | Samantha Aileen Leitner |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689415804 PECOS PAC ID: 1850837717 Enrollment ID: I20240726003023 |
Provider Name | Kimberly Akiye Michiko Ito |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558108175 PECOS PAC ID: 7416495619 Enrollment ID: I20240820000287 |
Mailing Address | Practice Location Address |
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150 Francam Dr Ste 124, Fayetteville, NC 28311-4500 Ph: (910) 797-2148 | 150 Francam Dr Ste 124, Fayetteville, NC 28311-4500 Ph: (910) 797-2148 |