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Organization
STEELE CREEK PHYSICAL THERAPY & BALANCE CENTER INC
Active
Organization
STEELE CREEK PHYSICAL THERAPY & BALANCE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON M MORRISSETTE DPT (PRESIDENT PHYSICAL THERAPIST)
(704) 504-2194
Entity
Organization
Contact information
Practice address
10965 WINDS CROSSING DR STE 300, CHARLOTTE, NC 28273-2400
(704) 504-2194
(704) 504-2197
Mailing address
PO BOX 38600, CHARLOTTE, NC 28278-1010
(704) 504-2194
(704) 504-2197
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018XA
BCBS OF NC
NC
01
—
18646
EVOLUTIONS
NC
01
—
195578
MEDCOST
NC
01
—
2329828
MEDICARE NC
NC
01
—
560619329
TRICARE OUT OF NETWORK
NC
05
—
7212120
—
NC
01
—
9455684
PHCS
NC
05
—
TH1743
—
SC
Enumeration date
10/31/2006
Last updated
08/16/2023
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