Basic Information
Provider Information
NPI: 1477787893
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PIANSAY
FirstName: MARIA FE
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1021 CHERAW ST
Address2: SUITE 101
City: BENNETTSVILLE
State: SC
PostalCode: 295122422
CountryCode: US
TelephoneNumber: 8434540911
FaxNumber: 8434540910
Practice Location
Address1: 123 S CASHUA DR
Address2:  
City: FLORENCE
State: SC
PostalCode: 295014001
CountryCode: US
TelephoneNumber: 8432921900
FaxNumber: 8432921902
Other Information
ProviderEnumerationDate: 05/13/2009
LastUpdateDate: 05/13/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X3379SCY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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