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Organization
PENDER PEDIATRIC THERAPY, PC
Active
Organization
PENDER PEDIATRIC THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY L GIBBS MS, CCC-SLP (PRESIDENT)
(910) 300-6150
Entity
Organization
Contact information
Practice address
101 EAST SATCHWELL STREET, BURGAW, NC 28425
(910) 300-6150
(844) 803-6048
Mailing address
PO BOX 662, BURGAW, NC 28425-0662
(910) 663-5450
(844) 803-6048
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/08/2016
Last updated
10/26/2023
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