Organization Name: | ARCHITECH SPORTS AND PHYSICAL THERAPY, INC. |
NPI Number: | 1437437076 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALICIA B. TYSON (CO-OWNER) |
Mailing Address: | 1001 Van Buren Ave Suite 3 Indian Trail |
State: | NC US |
Postal Code: | 280795541 |
Phone Number: | 7049008960 |
Fax Number: | 7048179523 |
NPI Enumeration Date: | 08/01/2011 |
NPI Last Update Date: | 10/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 2487 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |