Becky Ellen Roulhac

Individual provider Active NPI Physical Therapy Assistant · Cofield, NC

NPI 1821752296 · NPPES record last updated Oct 22, 2021

Key facts

NPI
1821752296
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
A6016 (NC)
Practice address
843 NC Highway 45 S
Cofield, NC 27922-9100
Phone
(252) 287-1846
NPI assigned
Oct 22, 2021
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
A6016NCMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A6016 NC Yes

Addresses

Primary practice location

843 NC Highway 45 S
Cofield, NC 27922-9100

Mailing address

843 NC Highway 45 S
Cofield, NC 27922-9100
Phone (252) 287-1846

Other providers in Cofield, NC

All providers in Cofield, NC · Physical Therapy Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.