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General NPI Number Information
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NPI Number | 1124719778
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Entity Type | Organization
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Legal Business Name | NC PHYSICAL THERAPY AND BALANCE LLC
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Dates
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Enumeration Date | 05/16/2023
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 3010 ANDERSON DR STE 100
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City | RALEIGH
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State | NC
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Zip | 27609-7720
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Country | US
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Telephone | 199-244-2225
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Fax | 919-446-3959
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Provider Business Mailing Address
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Address Line | 6000 SARAHCREEK CT
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City | RALEIGH
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State | NC
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Zip | 27607-4866
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Country | US
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Telephone | 919-244-2225
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Fax | 919-446-3959
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Authorized Official
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Title or Position | OWNER MANAGER
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Name | BRADLEY ALLAN FREATHY
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Credential |
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Telephone | 813-498-7048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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