Organization
INTEGRATED PEDIATRIC THERAPIES
Active
Parent organization
INTEGRATED PEDIATRIC THERAPIES LLC
Other names
Kids at play
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATED PEDIATRIC THERAPIES LLC
Authorized official
MR. JEFFREY W WICKLINE OTR (OWNER AND THERAPIST)
(203) 217-9366
Entity
Organization
Contact information
Practice address
138 MEMORY PLZ, WHITEVILLE, NC 28472-2640
(910) 393-9749
(910) 250-1244
Mailing address
3260 OCEANIC BAY DR, SOUTHPORT, NC 28461-6401
(203) 217-9366
(910) 393-9749
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
251E00000X
Home Health Agency
1758
CT
251E00000X
Home Health Agency
9721
NC
Other
Enumeration date
09/23/2017
Last updated
04/17/2025
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