Organization
CAWH REHABILITATION SERVICES, LLC.
Active
Organization
CAWH REHABILITATION SERVICES, LLC.
Active
Other names
CAWH PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM MARTIN (BILLING SUPERVISOR)
(336) 622-9641
Entity
Organization
Contact information
Practice address
10116 OLD LIBERTY RD, LIBERTY, NC 27298-8072
(336) 622-9641
(336) 622-9713
Mailing address
10116 OLD LIBERTY RD, PO BOX 486, LIBERTY, NC 27298-8072
(336) 622-9641
(336) 622-9713
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007729125
AETNA
NC
01
—
01954
BCBS NC
NC
01
—
1023023678
NPI VA
VA
01
—
193615
ANTHEM
VA
01
—
193617
ANTHEM
VA
01
—
CG1301
MEDICARE RAILROAD
NC
01
—
DF0075
MEDICARE RAILROAD
VA
Enumeration date
10/13/2006
Last updated
08/08/2013
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