Randal Bryce Braswell, | |
105 Waxhaw Professional Park Dr Ste B, Waxhaw, NC 28173-5018 | |
(704) 843-7000 | |
Not Available |
Full Name | Randal Bryce Braswell |
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Gender | Male |
Speciality | Physical Therapist |
Location | 105 Waxhaw Professional Park Dr Ste B, Waxhaw, 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 |
---|---|---|---|
1609558246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | P22492 (North Carolina) | Primary |
Provider Name | Physical Therapy Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053545988 PECOS PAC ID: 6901959188 Enrollment ID: O20090805000651 |
Mailing Address | Practice Location Address |
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Randal Bryce Braswell, 3008 Scottsdale Ln, Matthews, NC 28104-7232 Ph: (704) 320-8425 | Randal Bryce Braswell, 105 Waxhaw Professional Park Dr Ste B, Waxhaw, NC 28173-5018 Ph: (704) 843-7000 |
Kristy Joy Fleming, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1229 Toteros Dr, Waxhaw, NC 28173 Phone: 704-649-4509 Fax: 704-843-9045 | |
Saveena Kondaveeti, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8620 Fairgreen Ave, Waxhaw, NC 28173 Phone: 980-322-5440 | |
Megan Lynch Madlom, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7402 Stonehaven Dr, Waxhaw, NC 28173 Phone: 210-896-0182 | |
Jennie Murray, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 616 N Broome Street, Suite 103, Waxhaw, NC 28173 Phone: 704-243-8488 | |
Ashley White Myers, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1229 Toteros Dr, Waxhaw, NC 28173 Phone: 662-769-1328 Fax: 704-843-9045 | |
Cherokee Yeonjae Kim, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1229 Toteros Dr, Waxhaw, NC 28173 Phone: 704-618-2300 Fax: 704-843-9045 | |
Lauren Cates Colucci, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1229 Toteros Dr, Waxhaw, NC 28173 Phone: 704-649-4509 Fax: 704-843-9045 |