Organization
CHILDREN'S PLACE PEDIATRIC THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMITA WATKINS-AMICK MPT, DPT (SOLE MEMBER)
(336) 382-9797
Entity
Organization
Contact information
Practice address
5760 BUNCH RD, OAK RIDGE, NC 27310-9742
(336) 382-9797
Mailing address
5760 BUNCH RD, OAK RIDGE, NC 27310-9742
(336) 382-9797
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
P13476
NC
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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