Healthcare Provider Details
I. General information
NPI: 1396871869
Provider Name (Legal Business Name): MOVE WITH ME PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/26/2007
Last Update Date: 09/21/2023
Certification Date: 09/21/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7532 WILKINS DR
FAYETTEVILLE NC
28311-9338
US
IV. Provider business mailing address
7532 WILKINS DR
FAYETTEVILLE NC
28311-9338
US
V. Phone/Fax
- Phone: 910-868-6000
- Fax:
- Phone: 910-868-6000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHELE
HURLEY
Title or Position: PRESIDENT
Credential: PT
Phone: 910-868-6000