Individual
MR. THOMAS P SCANNELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3700 NW CARY PKWY STE 110, CARY, NC 27513-8446
(919) 319-3649
(919) 319-3651
Mailing address
9910 STRICKLAND RD STE 110, RALEIGH, NC 27615-2083
(919) 845-6160
(919) 845-6188
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078R4
BCBS-NC
NC
Enumeration date
09/27/2006
Last updated
07/08/2007
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