Provider Demographics
NPI:1467785113
Name:CEDAR HILL PHYSICAL THERAPY
Entity Type:Organization
Organization Name:CEDAR HILL PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:CARY
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:336-644-9661
Mailing Address - Street 1:5409 WHITE BLOSSOM DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-9336
Mailing Address - Country:US
Mailing Address - Phone:336-644-9661
Mailing Address - Fax:888-268-1042
Practice Address - Street 1:5409 WHITE BLOSSOM DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-9336
Practice Address - Country:US
Practice Address - Phone:336-644-9661
Practice Address - Fax:888-268-1042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-14
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5548225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty