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NPI Provider: 1689679433
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 1689679433, taxonomy code is 261QP2000X with license number is 1676 in . This Business address located in 4716 Old Gettysburg Road, Mechanicsburg, PA 17055 Pennsylvania. Get directions of Proactive Therapy Of North Carolina Inc.
Practice Location
Address: 3301 Benson Dr, Raleigh, NC 27609
Phone: (919) 872-8511
Business Location
Address: 4716 Old Gettysburg Road, Mechanicsburg, PA 17055
Phone: (717) 975-4503
Fax: (717) 975-9981
Taxonomy
Taxonomy Code: 261QP2000X
License Number: 1676
License Number of State: NC
Primary Taxonomy Switch: Y
Enumeration Date: 6/17/2005
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