MEDICARE: REBECCA ANN MCGHEE PHYSICAL THERAPIST

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
1	225100000X	Physical Therapist	6972	NC

General Provider Information

NPI Number	:	1396830212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA ANN MCGHEE PHYSICAL THERAPIST

Provider Business Mailing Address
First Line	:	5710 OLEANDER DRIVE, SUITE 210
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403
Country	:	US
Telephone Number	:	910-398-6301
Fax Number	:	910-398-6305

Provider Business Practice Location Address
First Line	:	5710 OLEANDER DR STE 210
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-4722
Country	:	US
Telephone Number	:	910-398-6301
Fax Number	:	910-398-6305

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	09/24/2010

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