Morgan Rain Carline, DPT | |
10635 Park Rd Ste D, Charlotte, NC 28210-8408 | |
(980) 890-3233 | |
Not Available |
Full Name | Morgan Rain Carline |
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Gender | Female |
Speciality | Physical Therapist |
Location | 10635 Park Rd Ste D, Charlotte, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770351066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA02237600 (New Jersey) | Secondary |
225100000X | Physical Therapist | CP0332578T (North Carolina) | Primary |
Provider Name | Ivyrehab Network Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
Mailing Address | Practice Location Address |
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Morgan Rain Carline, DPT Po Box 412313, Boston, MA 02241-1339 Ph: (914) 294-4050 | Morgan Rain Carline, DPT 10635 Park Rd Ste D, Charlotte, NC 28210-8408 Ph: (980) 890-3233 |
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