Activcare Physical Therapy, LLC
NPI #1356942981 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1356942981
- Entity Type
- Organization
- Organization Name
- Activcare Physical Therapy, LLC
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Nov 2, 2020
- Last Updated
- Dec 9, 2024
Practice Location
- Address
- 1009 STADIUM DR STE 124
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-4687
- Phone
- (919) 453-5910
Authorized Official
- Name
- TASHEDA BROUGHTON, PESC
- Title
- MANAGER, CREDENTIALING
- Phone
- (252) 248-3313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Occupational Therapist |
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