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Organization

CORNERSTONE PHYSICAL THERAPY AVL, INC

Active
Other names
Skyland Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
SETH JASON FIBRAIO DPT (CEO)
(828) 684-3611
Entity
Organization

Contact information

Practice address
1201 BLEACHERY BLVD, SUITE 201, ASHEVILLE, NC 28803
(828) 277-5763
(828) 277-5764
Mailing address
1201 BLEACHERY BLVD, SUITE 201, ASHEVILLE, NC 28803
(286) 843-6118
(828) 684-3612

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2251E1200X
Ergonomics Physical Therapist
2251G0304X
Geriatric Physical Therapist
2251H1200X
Hand Physical Therapist
2251P0200X
Pediatric Physical Therapist
225200000X
Physical Therapy Assistant
225X00000X
Occupational Therapist
225XP0200X
Pediatric Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
015MU
BCBS GROUP #
NC
05
7211480
NC
Enumeration date
11/21/2005
Last updated
06/05/2018
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