Helen Tender

Individual provider Active NPI Physical Therapy Assistant · Pilot Mountain, NC

NPI 1184072811 · NPPES record last updated Jun 3, 2016

Key facts

NPI
1184072811
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
A1368 (NC)
Practice address
110 Dearon LN
Pilot Mountain, NC 27041-8577
Phone
(336) 374-7054
NPI assigned
Jun 3, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A1368NCMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A1368 NC Yes

Addresses

Primary practice location

110 Dearon LN
Pilot Mountain, NC 27041-8577

Mailing address

110 Dearon LN
Pilot Mountain, NC 27041-8577

Other providers in Pilot Mountain, NC

All providers in Pilot Mountain, NC · Physical Therapy Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.