Pediatric Therapeutics Pllc
NPI #1992993588 in Holly Springs, North Carolina
Provider Information
- NPI Number
- 1992993588
- Entity Type
- Organization
- Organization Name
- Pediatric Therapeutics Pllc
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Oct 9, 2007
- Last Updated
- Oct 9, 2007
Practice Location
- Address
- 5265 SUNSET LAKE RD
- Address 2
- #14
- City
- Holly Springs
- State
- North Carolina
- ZIP Code
- 27540-3793
- Phone
- (919) 208-1521
Authorized Official
- Name
- JESSICA PROVOST, MS CCC-SLP
- Title
- DIRECTOR
- Phone
- (919) 208-1521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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