Healthcare Provider Details

I. General information

NPI: 1821183492
Provider Name (Legal Business Name): BRAY-MANESS PHYSICAL THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 08/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 N COX ST SUITE 28
ASHEBORO NC
27203
US

IV. Provider business mailing address

350 N COX ST SUITE 28
ASHEBORO NC
27203
US

V. Phone/Fax

Practice location:
  • Phone: 336-626-6382
  • Fax: 336-626-7442
Mailing address:
  • Phone: 336-626-6382
  • Fax: 336-626-7442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number397
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number4375
License Number StateNC

VIII. Authorized Official

Name: JEFFREY MICHAEL ZIEMBA
Title or Position: CO-OWNER
Credential: P.T.
Phone: 336-626-6382