| Brunswick Holistic Therapy Inc | |
|
618 N Howe St, Southport, NC 28461-3426 | |
| (910) 454-0404 | |
| Not Available |
| Full Name | Brunswick Holistic Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 618 N Howe St, Southport, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932390598 | NPI | - | NPPES |
| 11212 | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 6655 (North Carolina) | Primary |
| Provider Name | Marybeth Weinacht |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881719185 PECOS PAC ID: 6305741323 Enrollment ID: I20031203000537 |
| Mailing Address | Practice Location Address |
|---|---|
| Brunswick Holistic Therapy Inc 618 N Howe St, Southport, NC 28461-3426 Ph: () - | Brunswick Holistic Therapy Inc 618 N Howe St, Southport, NC 28461-3426 Ph: (910) 454-0404 |
Jacob Kramell, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4002 Executive Park Blvd Ste 800, Southport, NC 28461 Phone: 910-477-6236 | |
Logan Raichle, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5013 Southport Crossing Way Ste 204, Southport, NC 28461 Phone: 910-604-9550 | |
Michelle Lee Phillips, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 902 N Howe St, Southport, NC 28461 Phone: 910-457-4789 Fax: 910-457-5824 | |
Angela Marie Doyle, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1517 N Howe St, Southport, NC 28461 Phone: 910-519-8380 | |
Pamela R Dehne, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4002 Executive Park Blvd Ste 800, Southport, NC 28461 Phone: 910-477-6357 Fax: 910-477-6357 | |
Amanda Mcearl Tilyou, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4002 Executive Park Blvd Ste 800, Southport, NC 28461 Phone: 910-477-6236 Fax: 910-477-6357 | |
Mr. Nikolos William Boehmer, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4330 Southport Supply Road, Suite 201, Southport, NC 28461 Phone: 910-457-0113 Fax: 910-457-0114 |