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NPI Code Detail

MEDICARE: PROACTIVE THERAPY OF NORTH CAROLINA INC

MEDICARE: PROACTIVE THERAPY OF NORTH CAROLINA INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/CenterNC

General Provider Information

NPI Number : 1013912732
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROACTIVE THERAPY OF NORTH CAROLINA INC
Provider Business Mailing Address
First Line : 4714 GETTYSBURG RD
Second Line : LEGAL DEPARTMENT
City : MECHANICSBURG
State : PA
Zip : 17055-4325
Country : US
Telephone Number : 717-972-1100
Fax Number : 717-975-9981
Provider Business Practice Location Address
First Line : 20 W MEDICAL CT
Second Line :
City : MARION
State : NC
Zip : 28752-4968
Country : US
Telephone Number : 828-659-8049
Fax Number : 828-659-8639
Authorized Official
Title or Position : VICE PRESIDENT
Name : JOHN F DUGGAN
Credential :
Telephone Number : 717-972-1100
Provider Enumeration Date : 06/17/2005
Last Update Date : 10/21/2025

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Directions to “PROACTIVE THERAPY OF NORTH CAROLINA INC ” Practice Location

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