Organization
PHYSICIANS TOTAL REHAB OF FAYETTEVILLE INC.
Active
Other names
PHYSICANS TOTAL REHAB OF FAYETTEVILLE, INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZANE T WALSH JR. MD (MEDICAL DIRECTOR)
(910) 323-9010
Entity
Organization
Contact information
Practice address
2930 VILLAGE DR, FAYETTEVILLE, NC 28304-3815
(910) 323-9010
(910) 323-9568
Mailing address
2930 VILLAGE DR, FAYETTEVILLE, NC 28304-3815
(910) 323-9010
(910) 323-9568
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
39135
NC
225100000X
Physical Therapist
—
NC
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104P
BCBS NC
NC
01
—
248124
MAMSI
NY
01
—
6438888
PHYSICIANS HEALTH PLAN
NC
05
—
7200229
—
NC
01
—
932583
MAILHANDLERS
NC
Enumeration date
08/12/2005
Last updated
07/17/2023
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