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Organization
PRO REHAB NOW
Active
Organization
PRO REHAB NOW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VONDA CRISWELL MA,CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST/OWNER)
(980) 288-6225
Entity
Organization
Contact information
Practice address
9716 REA RD, STE B PBM 1025, MINT HILL, NC 28277-9305
(980) 288-6225
(704) 285-2311
Mailing address
9716 REA RD, STE B PBM 1025, MINT HILL, NC 28277-9305
(980) 288-6225
(704) 285-2311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
08/06/2020
Last updated
09/24/2020
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