Organization Name: | SUMMER E. BELK, DPT, INC |
NPI Number: | 1003241530 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUMMER ELYSE BELK (OWNER) |
Mailing Address: | 9710 Sam Furr Rd Unit A Huntersville |
State: | NC US |
Postal Code: | 280784928 |
Phone Number: | 9802168511 |
Fax Number: | 7048962114 |
NPI Enumeration Date: | 09/03/2013 |
NPI Last Update Date: | 09/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 10846 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |