| Carlie Desjardins, DPT | |
|
10102 S Main St Ste S, Archdale, NC 27263-3183 | |
| (336) 307-3015 | |
| (336) 307-3004 |
| Full Name | Carlie Desjardins |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 10102 S Main St Ste S, Archdale, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699290221 | NPI | - | NPPES |
| P17324 | Other | NC | NC STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 17324 (North Carolina) | Primary |
| Provider Name | Proptnc,llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093013351 PECOS PAC ID: 1456536713 Enrollment ID: O20110430000036 |
| Provider Name | Physical Therapy And Hand Specialists, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1518382357 PECOS PAC ID: 3173756632 Enrollment ID: O20140507001830 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlie Desjardins, DPT 10102 S Main St Ste S, Archdale, NC 27263-3183 Ph: (336) 307-3015 | Carlie Desjardins, DPT 10102 S Main St Ste S, Archdale, NC 27263-3183 Ph: (336) 307-3015 |
Michael James Hermano, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1506 Chelsea Sq, Archdale, NC 27263 Phone: 336-755-0380 | |
Jewel Lewis, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10102 S Main St Ste S, Archdale, NC 27263 Phone: 336-307-3015 Fax: 336-307-3004 | |
Juliana Digirolamo, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10102 S Main St Ste S, Archdale, NC 27263 Phone: 336-307-3015 Fax: 336-307-3004 |