Organization
ANTLEY PEDIATRIC THERAPY, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI B ANTLEY OTR (PRESIDENT)
(704) 236-3895
Entity
Organization
Contact information
Practice address
7275 WOODCOCK TRL, STANLEY, NC 28164-7705
(704) 236-3895
(318) 345-6997
Mailing address
7275 WOODCOCK TRL, STANLEY, NC 28164-7705
(704) 236-3895
(318) 345-6997
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
5341
NC
225XP0200X
Pediatric Occupational Therapist
Primary
5341
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211749
—
NC
Enumeration date
01/03/2007
Last updated
09/13/2007
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