Organization
TRULY THERAPEUTIC REHAB SOLUTIONS, PLLC
Active
Organization
TRULY THERAPEUTIC REHAB SOLUTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTILLIA NOEL FOGG OTR/L (OWNER)
(919) 793-3396
Entity
Organization
Contact information
Practice address
10130 PERIMETER PKWY, SUITE 200, CHARLOTTE, NC 28216-2447
(919) 793-3396
(704) 602-5212
Mailing address
PO BOX 142, WAKE FOREST, NC 27588-0142
(919) 793-3396
(704) 602-5212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
8544
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E346
MEDICARE PTAN
NC
Enumeration date
12/08/2014
Last updated
11/16/2022
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