Organization
CHOICE PHYSICAL THERAPY & WELLNESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY A VEDDER PT, DPT (PHYSICAL THERAPIST)
(336) 783-9400
Entity
Organization
Contact information
Practice address
847 WESTLAKE DRIVE, MOUNT AIRY, NC 27030-2703
(336) 783-9400
(336) 783-9406
Mailing address
847 WESTLAKE DRIVE, MOUNT AIRY, NC 27030-8222
(336) 783-9400
(336) 783-9406
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
10400
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018YC
BCBSNC
NC
01
—
196659
MEDCOST
—
01
—
300561
ANTHEM
—
01
—
812009
PARTNERS
—
Enumeration date
11/01/2006
Last updated
02/07/2021
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