Boone Pediatric Therapy Pllc
NPI #1700400173 in Jefferson, North Carolina
Provider Information
- NPI Number
- 1700400173
- Entity Type
- Organization
- Organization Name
- Boone Pediatric Therapy Pllc
- Primary Specialty
- Occupational Therapist - Pediatrics
- Enumeration Date
- Jun 2, 2020
- Last Updated
- Jun 24, 2024
Practice Location
- Address
- 419 E MAIN STREET
- Address 2
- SUITE 2
- City
- Jefferson
- State
- North Carolina
- ZIP Code
- 28640
- Phone
- (828) 528-1617
Authorized Official
- Name
- MRS. STEPHANIE WHIGHAM, MS, OTR/L
- Title
- OCCUPATIONAL THERAPIST
- Phone
- (828) 528-1617
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist - Pediatrics — Pediatrics |
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| Provider Name | |
|---|---|
| MRS. Candace Fox Stikeleather, OTRL | |
| David Stephen Pritchard, OTRL | |
| MRS. Kelly Anne Fonville, MS OTR IL | |
| MRS. Caitlin Moore Sund, MHS OTRL |
Organizations
| Provider Name | |
|---|---|
| Integrative Therapy Concepts |
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