Providence Physical Therapy, LLC
NPI #1326564287 in Surf City, North Carolina
Provider Information
- NPI Number
- 1326564287
- Entity Type
- Organization
- Organization Name
- Providence Physical Therapy, LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Aug 22, 2017
- Last Updated
- Jan 17, 2021
Practice Location
- Address
- 107 TRITON LN
- City
- Surf City
- State
- North Carolina
- ZIP Code
- 28445-6923
- Phone
- (910) 803-2040
Authorized Official
- Name
- DAVID DEITZ, PT, DPT
- Title
- OWNER AND MANAGER
- Phone
- (724) 288-1639
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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