Provider Demographics
NPI:1467592402
Name:AB&M THERAPY SERVICES
Entity Type:Organization
Organization Name:AB&M THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:BRYTE
Authorized Official - Last Name:BOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:336-983-2210
Mailing Address - Street 1:PO BOX 824
Mailing Address - Street 2:
Mailing Address - City:KING
Mailing Address - State:NC
Mailing Address - Zip Code:27021-0824
Mailing Address - Country:US
Mailing Address - Phone:336-983-2210
Mailing Address - Fax:336-983-2218
Practice Address - Street 1:617 EAST KING STREET
Practice Address - Street 2:
Practice Address - City:KING
Practice Address - State:NC
Practice Address - Zip Code:27021-0824
Practice Address - Country:US
Practice Address - Phone:336-983-2210
Practice Address - Fax:336-983-2218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1802224Z00000X
NC5553224Z00000X
NC0018225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7210573Medicaid
NC1326NOtherBLUE CROSS BLUE SHIELD