| Theraspace Llc | |
|
125 Cypress Drive, Spring Lake, NC 28390 | |
| (305) 794-7185 | |
| Not Available |
| Full Name | Theraspace Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 125 Cypress Drive, Spring Lake, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518637305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theraspace Llc 125 Cypress Drive, Spring Lake, NC 28390 Ph: (305) 794-7185 | Theraspace Llc 125 Cypress Drive, Spring Lake, NC 28390 Ph: (305) 794-7185 |
Amanda Didawick Russell, Physical Therapist Medicare: Medicare Enrolled Practice Location: 103 Sleepy Dr Ste G, Spring Lake, NC 28390 Phone: 910-423-5622 Fax: 910-378-1755 | |
Autism Therapeutic Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 Superior Dr, Spring Lake, NC 28390 Phone: 910-484-1711 |