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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