Joseph Libera Physical Therapy
Community/Behavioral Health in Elon, NC. Organization (NPI-2).
NPI number1962087148
StatusActive
Last updated in NPPESMar 11, 2021
Details
- NPI
- 1962087148
- Entity type
- Organization (NPI-2)
- Legal business name
- Joseph Libera Physical Therapy
- Organization subpart
- No
- Enumeration date
- Mar 10, 2021
- Certification date
- Mar 11, 2021
- Last updated
- Mar 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – |
Practice location
209 S Williamson AveElon, NC 27244-9252
Phone 336-684-0500 · Fax 336-684-0500
Mailing address
209 S Williamson AveElon, NC 27244-9252
Phone 336-684-0500 · Fax 336-684-0500
Authorized official
Joseph Victor Libera
Physical Therapist
3366840500
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