| Organization Name: | WAKE SPECIALTY PHYSICIANS LLC |
| NPI Number: | 1275992455 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIA JAYOUSSI (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 10000 Cambridge Village Loop Apex |
| State: | NC US |
| Postal Code: | 275027707 |
| Phone Number: | 9196298150 |
| Fax Number: | 9193501475 |
| NPI Enumeration Date: | 02/17/2016 |
| NPI Last Update Date: | 05/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |