Healthcare Provider Details

I. General information

NPI: 1518933803
Provider Name (Legal Business Name): MARTHA S SAYLORS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N MADISON AVE
GOLDSBORO NC
27530-3143
US

IV. Provider business mailing address

PO BOX 362
PIKEVILLE NC
27863-0362
US

V. Phone/Fax

Practice location:
  • Phone: 919-739-0047
  • Fax: 919-739-9041
Mailing address:
  • Phone: 919-739-0047
  • Fax: 919-739-9041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number665
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: