Organization
CAROLINA PHYSICAL REHABILITATION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHADE F BADA (PRACTICE ADMINISTRATOR)
(704) 624-0346
Entity
Organization
Contact information
Practice address
507 JONES ST, MARSHVILLE, NC 28103-1231
(704) 624-0346
(704) 624-0356
Mailing address
507 JONES ST, PO BOX 237, MARSHVILLE, NC 28103-1231
(704) 624-0346
(704) 624-0356
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
7131
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211726
—
NC
Enumeration date
06/20/2006
Last updated
10/23/2008
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