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NPI Code Detail

MEDICARE: VERMILLION PHYSICAL THERAPY, INC

MEDICARE: VERMILLION PHYSICAL THERAPY, 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
1225100000XPhysical TherapistPT9498NC

General Provider Information

NPI Number : 1295160257
Entity Type Code : Organization
Provider Name (Legal Business Name) : VERMILLION PHYSICAL THERAPY, INC
Provider Business Mailing Address
First Line : 18831 STATESVILLE RD
Second Line :
City : CORNELIUS
State : NC
Zip : 28031-6755
Country : US
Telephone Number : 704-293-3663
Fax Number :
Provider Business Practice Location Address
First Line : 18831 STATESVILLE RD
Second Line :
City : CORNELIUS
State : NC
Zip : 28031-6755
Country : US
Telephone Number : 704-293-3663
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. MARGARET M VERMILLION
Credential : MSPT
Telephone Number : 704-293-3663
Provider Enumeration Date : 09/10/2013
Last Update Date : 10/21/2013

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Directions to “VERMILLION PHYSICAL THERAPY, INC ” Practice Location

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