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Organization
FOUNDATION HEALTH SYSTEMS LLC
Active
Organization
FOUNDATION HEALTH SYSTEMS LLC
Active
Other names
Novant Health Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN ELIZABETH BALL (MGR. REGIONAL REHAB SERVICES)
(704) 316-4443
Entity
Organization
Contact information
Practice address
601 SUTTON RD S, FORT MILL, SC 29715-8439
(803) 909-6447
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
(336) 751-8003
(336) 751-8030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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