Organization
AUTISM THERAPEUTIC SERVICES
Active
Other names
HealthPRO Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
TERRA RAE SCOTT (SVP OUTPATIENT PEDIATRICS)
(303) 437-4364
Entity
Organization
Contact information
Practice address
1477 NC 24-87, CAMERON, NC 28326-6752
(910) 484-1711
Mailing address
568 SANDHURST DR, FAYETTEVILLE, NC 28304-4426
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/30/2021
Last updated
10/16/2023
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