Organization
BROAD RIVER REHABILITATION
Active
Other names
Broad River Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MANNING MCGRAW (CEO)
(828) 774-5222
Entity
Organization
Contact information
Practice address
9120 WILLOW RIDGE RD, CHARLOTTE, NC 28210-8313
(704) 275-5336
Mailing address
1 POND ST, ARDEN, NC 28704-8500
(828) 774-5222
(828) 774-5254
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902317589
—
NC
Enumeration date
10/23/2017
Last updated
11/28/2022
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