Organization
COMMUNITY ACCESS THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE CHESSON WOLFF (PRESIDENT)
(336) 294-3338
Entity
Organization
Contact information
Practice address
5 DUNDAS CIR, SUITES BCD, GREENSBORO, NC 27407-1662
(336) 294-3338
(336) 294-6696
Mailing address
7402 CORNUS CT, SUMMERFIELD, NC 27358-9514
(336) 294-3338
(336) 294-6696
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
2251P0200X
Pediatric Physical Therapist
Primary
2044
NC
225400000X
Rehabilitation Practitioner
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016HN
BCBS
NC
05
—
7210811
—
NC
05
—
8300082
—
NC
Enumeration date
12/30/2006
Last updated
03/14/2021
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