Organization Name: | PHYSICAL THERAPY AND HAND SPECIALIST, LLC |
NPI Number: | 1205251964 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KILEY RUSSELL (MANAGER OF PROVIDER AND PAYER ENROL) |
Mailing Address: | 601 S Main St Unit B Reidsville |
State: | NC US |
Postal Code: | 273205036 |
Phone Number: | 3363423383 |
Fax Number: | 3363423384 |
NPI Enumeration Date: | 03/04/2014 |
NPI Last Update Date: | 03/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |