Annette Chontos

Individual provider Active NPI Physical Therapy Assistant · Granite Falls, NC

NPI 1609148147 · NPPES record last updated Jan 30, 2012

Key facts

NPI
1609148147
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
1446 (NC)
Practice address
144 S Main St
Granite Falls, NC 28630-1958
Phone
(828) 754-3888
NPI assigned
Jan 30, 2012
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
1446NCMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1446 NC Yes

Addresses

Primary practice location

144 S Main St
Granite Falls, NC 28630-1958

Mailing address

144 S Main St
Granite Falls, NC 28630-1958

Other providers in Granite Falls, NC

All providers in Granite Falls, NC · Physical Therapy Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.