NPI Provider: 1013912732
Contact Name: Tarvin E. Michael
Position: Vice President
Phone: (717) 975-4503
Proactive Therapy Of North Carolina Inc Information:
Proactive Therapy Of North Carolina Inc organization have npi 1013912732, taxonomy code is 261QP2000X with license number is OPT7924T in . This Business address located in 4716 Old Gettysburg Rd., Mechanicsburg, PA 17055 Pennsylvania.
Practice Location
Address: 20 W Medical Ct, Marion, NC 28752
Phone: (828) 659-8049
Business Location
Address: 4716 Old Gettysburg Rd., Mechanicsburg, PA 17055
Phone: (717) 975-4503
Fax: (717) 975-9981
Taxonomy
Taxonomy Code: 261QP2000X
License Number: OPT7924T
License Number of State: NC
Primary Taxonomy Switch: Y
Enumeration Date: 6/17/2005
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