Organization
ABC PEDIATRIC REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN EDGAR WOLFE JR. MS OTR L (DIRECTOR OF OCCUPATIONAL THERAPY)
(704) 771-0051
Entity
Organization
Contact information
Practice address
10620 STONE BUNKER DRIVE, MINT HILL, NC 28227
(704) 771-0051
(800) 806-9071
Mailing address
PO BOX 691775, MINT HILL, NC 28227-7030
(704) 771-0051
(800) 806-9071
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10550
NC
225X00000X
Occupational Therapist
5989
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7212058
—
NC
Enumeration date
12/22/2006
Last updated
09/11/2025
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