Most Relevant Information
Provider Data
| NPI Number: | 1003394495 |
| Provider Name: | MICHAEL ANDREW SLACK DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/30/2018 |
| Last Updated: | 07/30/2018 |
Provider Practice Location
1712 OWEN DR
FAYETTEVILLE
NC
283043419
Practice Location Phone/Fax
| Phone: | 9104839300 |
| Fax: | 9104839302 |
Provider Mailing Location
981 HIGH HOUSE RD STE 100
CARY
NC
275133510
Provider Mailing Phone/Fax
| Phone: | 9193880111 |
| Fax: | 9193888668 |