institution
Innovative Physical Therapy Services Inc
Pediatric Physical Therapist in Mooresville, North Carolina
NPI 1336148279

Innovative Physical Therapy Services Inc is a Pediatric Physical Therapist based in Mooresville, NC and is specialized in Pediatrics. Innovative Physical Therapy Services Inc practices in Mooresville, NC. The NPI Number for Innovative Physical Therapy Services Inc is 1336148279 and holds a License No. 6107 (North Carolina).

The current practice location address for Innovative Physical Therapy Services Inc is 503 Canvasback Rd, Mooresville, NC and can be reached out via phone at 704-799-9791 and via fax at 704-799-2687. You can also correspond with Innovative Physical Therapy Services Inc through the mailing address at 503 CANVASBACK RD, MOORESVILLE, NC - 28117 (mailing address contact number: 704-799-9791).

Location: 503 Canvasback Rd, Mooresville, NC, 28117
institution
Provider Profile Details
NPI Number
1336148279
Provider Name
Innovative Physical Therapy Services Inc
Credential
Provider Entity Type
Organization
Address
503 Canvasback Rd, Mooresville, NC, 28117
Phone Number
704-799-9791
Fax Number
704-799-2687
Provider Enumeration Date
07/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0149J 01 NC BCBS
5194701 01 CIGNA
6443822 01 NC UNITED HEALTHCARE
7210608 05 NC
32633 01 NC PARTNERS
institution
Provider Business Practice Location Address Details
Address
503 Canvasback Rd
City
State
Zip
28117
Phone Number
704-799-9791
Fax Number
704-799-2687
person
Provider Business Mailing Address Details
Address
503 Canvasback Rd
City
State
Zip
28117
Phone Number
704-799-9791
Fax Number
704-799-2687
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
License No.
6107 (North Carolina)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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