Most Relevant Information
Provider Data
| NPI Number: | 1003045774 |
| Provider Name: | KELLY SUSAN DWIGGINS PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 7420 |
Most Important Dates
| Enumeration Date: | 07/02/2009 |
| Last Updated: | 07/02/2009 |
Provider Practice Location
201 JANDALE CT
CHINA GROVE
NC
280237696
Practice Location Phone/Fax
| Phone: | 7048576140 |
| Fax: |
Provider Mailing Location
201 JANDALE CT
CHINA GROVE
NC
280237696
Provider Mailing Phone/Fax
| Phone: | 7048576140 |
| Fax: |