Organization
MENON PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SACHIN MENON DPT (PHYSICAL THERAPIST)
(919) 802-8428
Entity
Organization
Contact information
Practice address
519 FRONT RIDGE DR, CARY, NC 27519-6433
(919) 802-8428
Mailing address
519 FRONT RIDGE DR, CARY, NC 27519-6433
(919) 802-8428
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
14416
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508294646
MEDICARE INDIVIDUAL NPI
—
Enumeration date
12/26/2013
Last updated
12/26/2013
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