Organization
THERACCESS
Active
Other names
VASTACCESS, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHETAN DESHMUKH MBA, OTR/L, CPC, (CEO)
(919) 421-4263
Entity
Organization
Contact information
Practice address
1101 PEMBERTON HILL RD, SUITE 102, APEX, NC 27502-3957
(919) 421-4263
Mailing address
1101 PEMBERTON HILL RD, SUITE 102, APEX, NC 27502-3957
(919) 421-4263
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
6766
NC
261QP2000X
Physical Therapy Clinic/Center
Primary
89
NC
261QR0400X
Rehabilitation Clinic/Center
89
NC
Other
Enumeration date
05/12/2012
Last updated
08/21/2015
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