Organization
CLEVELAND PHYSICAL THERAPY ASSOC II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E CROWELL (DIRECTOR OF ADMINISTRATION)
(704) 471-0001
Entity
Organization
Contact information
Practice address
335B W COLLEGE AVE, SHELBY, NC 28152-8111
(704) 434-8175
(704) 434-8176
Mailing address
1129 E MARION ST, SHELBY, NC 28150-4843
(704) 471-0001
(704) 471-0004
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9863
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211706
—
NC
Enumeration date
11/07/2005
Last updated
08/22/2020
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