Provider Demographics
NPI:1891236311
Name:CHAPEL HILL POSTURAL RESTORATION AND SCOLIOSIS CENTER
Entity Type:Organization
Organization Name:CHAPEL HILL POSTURAL RESTORATION AND SCOLIOSIS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT, CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:ALICE
Authorized Official - Last Name:MASSE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:919-932-7266
Mailing Address - Street 1:77 S ELLIOTT RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-5827
Mailing Address - Country:US
Mailing Address - Phone:919-932-7266
Mailing Address - Fax:
Practice Address - Street 1:77 S ELLIOTT RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5827
Practice Address - Country:US
Practice Address - Phone:919-932-7266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KJC CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5181261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy