| Organization Name: | PROACTIVE THERAPY OF NORTH CAROLINA INC |
| NPI Number: | 1013912732 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL E. TARVIN (VICE PRESIDENT) |
| Mailing Address: | 20 W Medical Ct Marion |
| State: | NC US |
| Postal Code: | 287524968 |
| Phone Number: | 8286598049 |
| Fax Number: | 8286598639 |
| NPI Enumeration Date: | 06/17/2005 |
| NPI Last Update Date: | 08/31/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |