NPI 1376164988 · live from the CMS NPI Registry
Age Well Nc LLC
Physical Therapist, Geriatrics in Hillsborough, NC. National Provider Identifier 1376164988, active.
NPI record
| NPI | 1376164988 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist, Geriatrics 2251G0304X |
| Practice location | 1610 Dunn Pl, Hillsborough, NC 27278 |
| Practice phone | 908-507-8219 |
| Enumerated | May 5, 2020 |
| Last updated | May 5, 2020 |
| Authorized official | Sophia Pelton, Physical Therapist/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist, Geriatrics primary | 2251G0304X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.