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NPI Code Detail

MEDICARE: PATRICIA MARIE WETHERBEE PT

MEDICARE: PATRICIA MARIE WETHERBEE PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistP17757NC

General Provider Information

NPI Number : 1053543199
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA MARIE WETHERBEE PT
Provider Business Mailing Address
First Line : 200 BROADHURST RD
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28540-3551
Country : US
Telephone Number : 910-455-2211
Fax Number :
Provider Business Practice Location Address
First Line : 200 BROADHURST RD
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28540-3551
Country : US
Telephone Number : 207-323-2198
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2009
Last Update Date : 06/04/2026

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