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NPI Code Detail

MEDICARE: KYRSTEN LE DPT

MEDICARE: KYRSTEN LE DPT
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 TherapistP23556NC

General Provider Information

NPI Number : 1811721285
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYRSTEN LE DPT
Provider Business Mailing Address
First Line : 4214 N ROXBORO ST STE 100
Second Line :
City : DURHAM
State : NC
Zip : 27704-1888
Country : US
Telephone Number : 919-479-9001
Fax Number : 919-479-9003
Provider Business Practice Location Address
First Line : 4214 N ROXBORO ST STE 100
Second Line :
City : DURHAM
State : NC
Zip : 27704-1888
Country : US
Telephone Number : 919-479-9001
Fax Number : 919-479-9003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2024
Last Update Date : 08/28/2024

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Directions to “ KYRSTEN LE DPT” Practice Location

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