Provider Demographics
NPI:1508957598
Name:SCANNELL, THOMAS P JR (PT)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:P
Last Name:SCANNELL
Suffix:JR
Gender:M
Credentials:PT
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Mailing Address - Street 1:9910 STRICKLAND RD STE 110
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-2083
Mailing Address - Country:US
Mailing Address - Phone:919-845-6160
Mailing Address - Fax:919-845-6188
Practice Address - Street 1:3700 NW CARY PKWY STE 110
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8446
Practice Address - Country:US
Practice Address - Phone:919-319-3649
Practice Address - Fax:919-319-3651
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC078R4OtherBCBS-NC
NC2504096AMedicare ID - Type Unspecified