Organization Name: | CAROLINA ORTHOPEDIC REHAB LLC |
NPI Number: | 1336335595 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH MANNIE ELLSWORTH (MANAGING MEMBER (OWNER)) |
Mailing Address: | 1620 Brevard Rd Suite 40 Hendersonville |
State: | NC US |
Postal Code: | 287913224 |
Phone Number: | 8286984818 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2007 |
NPI Last Update Date: | 09/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5037 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |