Provider Demographics
NPI:1881645943
Name:HARRINGTON, DAVID MOORE (PT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:MOORE
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:DAVID
Other - Middle Name:MOORE
Other - Last Name:HARRINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1713 VAUGHN RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27217-2915
Mailing Address - Country:US
Mailing Address - Phone:336-229-5531
Mailing Address - Fax:336-229-5900
Practice Address - Street 1:1713 VAUGHN RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217-2915
Practice Address - Country:US
Practice Address - Phone:336-229-5531
Practice Address - Fax:336-229-5900
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1713225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7211968Medicare ID - Type UnspecifiedGROPU NUMBER