Organization
'I CAN' PEDIATRIC THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN MATTHEW ADAMS MS OTR/L (OWNER/THERAPIST)
(336) 262-2086
Entity
Organization
Contact information
Practice address
697 EDGEWOOD RD, WILKESBORO, NC 28697-9562
(336) 667-1555
(336) 667-2088
Mailing address
PO BOX 1024, NORTH WILKESBORO, NC 28659-1024
(336) 667-1555
(336) 667-2088
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6541
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7200533
—
NC
Enumeration date
05/25/2012
Last updated
02/02/2015
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