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NPI Code Detail

MEDICARE: TOTAL REHABILITATION INC

MEDICARE: TOTAL REHABILITATION 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
12251P0200XPediatric Physical TherapistNC
2225XP0200XPediatric Occupational TherapistNC
3225X00000XOccupational TherapistNC
4225100000XPhysical TherapistNC
5235Z00000XSpeech-Language PathologistNC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10268AOTHERBCBS
2720268AOTHERMRNC

General Provider Information

NPI Number : 1760477715
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL REHABILITATION INC
Provider Business Mailing Address
First Line : PO BOX 3456
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27515-3456
Country : US
Telephone Number : 919-968-3456
Fax Number : 919-932-3456
Provider Business Practice Location Address
First Line : 1829 E FRANKLIN ST
Second Line : BLDG #600
City : CHAPEL HILL
State : NC
Zip : 27514-5861
Country : US
Telephone Number : 919-968-3456
Fax Number : 919-932-3456
Authorized Official
Title or Position : VICE PRESIDENT/CO-OWNER
Name : SANDRA LOWE BLACKWOOD
Credential : PHYSICAL THERAPIST
Telephone Number : 919-968-3456
Provider Enumeration Date : 09/15/2005
Last Update Date : 11/06/2015

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Directions to “TOTAL REHABILITATION INC ” Practice Location

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