Provider Demographics
NPI:1548446529
Name:DEBUSSEY, CRAIG S (PT)
Entity type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:S
Last Name:DEBUSSEY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 17272
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-7272
Mailing Address - Country:US
Mailing Address - Phone:919-419-8333
Mailing Address - Fax:
Practice Address - Street 1:106 FOXRIDGE CT
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-9562
Practice Address - Country:US
Practice Address - Phone:919-419-8333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-21
Last Update Date:2008-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3589225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist