Organization
REBECCA'S KID THERAPY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA WALLS (PRESIDENT)
(919) 740-8253
Entity
Organization
Contact information
Practice address
416 ELM ST, RALEIGH, NC 27604-1932
(919) 740-8253
Mailing address
416 ELM ST, RALEIGH, NC 27604-1932
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3077
NC
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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