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Organization
THERAPEUTIC INTERVENTION SERVICES FOR CHILDREN, INC.
Active
Organization
THERAPEUTIC INTERVENTION SERVICES FOR CHILDREN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH JEANNETTE YOUNG P.T. (PRESIDENT)
(336) 282-6222
Entity
Organization
Contact information
Practice address
1802 CARMEL RD, GREENSBORO, NC 27408-3120
(336) 282-6222
(336) 282-5723
Mailing address
1802 CARMEL RD, GREENSBORO, NC 27408-3120
(336) 282-6222
(336) 282-5723
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1686
NC
225100000X
Physical Therapist
6001
NC
225100000X
Physical Therapist
9058
NC
225XP0200X
Pediatric Occupational Therapist
5161
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7210852
—
NC
Enumeration date
07/09/2006
Last updated
05/01/2009
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