Organization Name: | CORE THERAPY SERVICES, INC. |
NPI Number: | 1407085418 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FREDERICK B IRELAND (PRESIDENT) |
Mailing Address: | 1107 New Pointe Blvd Suite B-19 Leland |
State: | NC US |
Postal Code: | 284514128 |
Phone Number: | 9106169825 |
Fax Number: | 8668443505 |
NPI Enumeration Date: | 07/11/2009 |
NPI Last Update Date: | 07/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |