Organization Name: | EASTERN THERAPEUTIC SERVICES, INC. |
NPI Number: | 1619155819 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GLORIA TOLSON SANDERS (DIRECTOR) |
Mailing Address: | 146 Stewart Point Rd Hubert |
State: | NC US |
Postal Code: | 285393440 |
Phone Number: | 9103263066 |
Fax Number: | 9103263231 |
NPI Enumeration Date: | 02/11/2008 |
NPI Last Update Date: | 02/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 643 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |