Healthcare Provider Details

I. General information

NPI: 1194828418
Provider Name (Legal Business Name): PHYSICAL SOLUTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5623 DURALEIGH RD
RALEIGH NC
27612-2700
US

IV. Provider business mailing address

5623 DURALEIGH RD
RALEIGH NC
27612-2700
US

V. Phone/Fax

Practice location:
  • Phone: 919-389-7935
  • Fax: 919-786-0008
Mailing address:
  • Phone: 919-389-7935
  • Fax: 919-786-0008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNC

VIII. Authorized Official

Name: MS. CATHY E BUSBY
Title or Position: OWNER/ MANAGER
Credential: P.T, M.S.
Phone: 919-389-7935