Healthcare Provider Details
I. General information
NPI: 1952928129
Provider Name (Legal Business Name): HOME STRONG THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/02/2020
Last Update Date: 07/02/2020
Certification Date: 07/02/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9 DEVONSHIRE DR
GREENSBORO NC
27410-2434
US
IV. Provider business mailing address
9 DEVONSHIRE DR
GREENSBORO NC
27410-2434
US
V. Phone/Fax
- Phone: 336-870-6493
- Fax:
- Phone: 336-870-6493
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251G0304X |
| Taxonomy | Geriatric Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SABRA
KRESS
Title or Position: PHYSICAL THERAPIST/OWNER
Credential: PT
Phone: 336-870-6493