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Mr. Michael Lee Mazzella, PT
Specialist in Cary, North Carolina
NPI 1306871033

Michael Lee Mazzella is a Specialist based in Cary, NC. Michael Lee Mazzella practices in Cary, NC and has the professional credentials of PT. The NPI Number for Michael Lee Mazzella is 1306871033 and holds a License No. 3168 (North Carolina).

The current practice location address for Michael Lee Mazzella is 1120 S. E. Cary Pkwy, Cary, NC and can be reached out via phone at 919-467-4992 and via fax at 919-297-0145. You can also correspond with Michael Lee Mazzella through the mailing address at 1120 S. E. CARY PKWY, CARY, NC - 27518 (mailing address contact number: 919-467-4992).

Location: 1120 S. E. Cary Pkwy, Cary, NC, 27518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306871033
Provider Name
Michael Lee Mazzella
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
1120 S. E. Cary Pkwy, Cary, NC, 27518
Phone Number
919-467-4992
Fax Number
919-297-0145
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
07891 01 NC BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1120 S. E. Cary Pkwy
City
Cary
State
North Carolina
Zip
27518
Phone Number
919-467-4992
Fax Number
919-297-0145
person
Provider Business Mailing Address Details
Address
1120 S. E. Cary Pkwy
City
Cary
State
North Carolina
Zip
27518
Phone Number
919-467-4992
Fax Number
919-297-0145
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
3168 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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