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Organization
REBOUND PHYSICAL THERAPY, LLC
Active
Organization
REBOUND PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA RICE P.T. (OWNER)
(704) 662-3210
Entity
Organization
Contact information
Practice address
156 BYERS CREEK RD, MOORESVILLE, NC 28117-4376
(704) 662-3210
(704) 662-3605
Mailing address
156 BYERS CREEK RD, MOORESVILLE, NC 28117-4376
(704) 662-3210
(704) 662-3605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9540
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079YY
INDIVIDUAL BCBS NUMBER
NC
01
—
2504054A
MEDICARE GROUP
NC
Enumeration date
01/08/2008
Last updated
04/30/2008
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