1225335714

Everything you always wanted to know about AUTRY W ADAM DPT but were afraid to ask.

AUTRY W ADAM DPT

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Provider Last Name Provider Middle Name Provider First Name Provider Credential
AUTRY W ADAM DPT
Gender:
Male
Enumeration date:
2011-02-17
Last update date:
2011-02-17
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
225100000X Physical Therapist NC P13005 Y

Phone Numbers

Type Number
Practice Location Address Telephone Number 3362747480
Practice Location Address Fax Number 3362748903
Mailing Address Fax Number 9104839302
Mailing Address Telephone Number 9104839300

Addresses

Type Address City State Postal Country
Mailing Address 530 SANDHURST DR STE D FAYETTEVILLE NC 0 NC
Practice Location Address 1910 N CHURCH ST GREENSBORO NC 27405 NC

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