Provider Demographics
NPI:1255648127
Name:NEPTUNO, AIMEE CARLOVA BACANI (PT)
Entity type:Individual
Prefix:
First Name:AIMEE CARLOVA
Middle Name:BACANI
Last Name:NEPTUNO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:
Other - Last Name:ADDISON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-682-8840
Mailing Address - Fax:423-602-2028
Practice Address - Street 1:610 N FAYETTEVILLE ST STE 101
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-4671
Practice Address - Country:US
Practice Address - Phone:336-633-4263
Practice Address - Fax:336-633-4267
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25781225100000X
CO10735225100000X
NCP12818225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist