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Organization
PEDIATRIC THERAPY ASSOCIATES
Active
Organization
PEDIATRIC THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL S STEPHENSON MS, CCC-SLP (OWNER, CO-DIRECTOR)
(919) 781-4434
Entity
Organization
Contact information
Practice address
2301 REXWOODS DR STE 118, RALEIGH, NC 27607-3366
(919) 781-4434
(919) 781-5851
Mailing address
2301 REXWOODS DR STE 118, RALEIGH, NC 27607-3366
(919) 781-4434
(919) 781-5851
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07794
BCBS
NC
05
—
7211306
—
NC
05
—
7211307
—
NC
05
—
8300000
—
NC
Enumeration date
12/12/2006
Last updated
06/18/2026
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