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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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