Organization
TANAS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NABILA S TANAS PT (PRESIDENT)
(919) 380-0964
Entity
Organization
Contact information
Practice address
105 BAINES CT, CARY, NC 27511-6625
(919) 380-0964
(919) 380-8121
Mailing address
105 BAINES CT, CARY, NC 27511-6625
(919) 380-0964
(919) 380-8121
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2825
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01576
BLUE CROSS BLUE SHIELD ID
NC
01
—
2352174
AETNA HMO ID #
NC
01
—
5662666
AETNA ID#
NC
05
—
8953730
—
NC
Enumeration date
12/13/2005
Last updated
08/22/2020
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