Provider Demographics
NPI:1194931030
Name:PENTCHEV, PLAMEN IVANOV (PT)
Entity type:Individual
Prefix:MR
First Name:PLAMEN
Middle Name:IVANOV
Last Name:PENTCHEV
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 EOLA AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-1812
Mailing Address - Country:US
Mailing Address - Phone:828-398-4456
Mailing Address - Fax:
Practice Address - Street 1:69 TURTLE CREEK DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-3104
Practice Address - Country:US
Practice Address - Phone:828-277-0633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10233225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist