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Brian Boadwine, ATC
NPI 1205253622 · on the registry since 2014 · sole proprietor
Practice
- Address
- 100 Bryan Chalk Ln
Knightdale High School
Knightdale, NC 27545 - Phone
- (919) 217-5350
- Fax
- (919) 217-5356
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-03-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina