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Organization
PHYSICAL THERAPY FOR THE CAROLINAS
Active
Organization
PHYSICAL THERAPY FOR THE CAROLINAS
Active
Other names
PT for the Carolinas
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS S CAMPION PT, OCS (OWNER)
(704) 541-3378
Entity
Organization
Contact information
Practice address
3315 SPRINGBANK LN, SUITE 104, CHARLOTTE, NC 28226-3197
(704) 541-3378
(704) 542-5962
Mailing address
3315 SPRINGBANK LN, SUITE 104, CHARLOTTE, NC 28226-3197
(704) 541-3378
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5257
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016MN
BCBS GROUP
NC
05
—
7211690
—
NC
Enumeration date
01/13/2006
Last updated
04/29/2011
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