Organization
KINETIC PEDIATRIC THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE DAVID EDWARDS DPT (CO-OWNER)
(252) 902-7061
Entity
Organization
Contact information
Practice address
1540 E ARLINGTON BLVD, GREENVILLE, NC 27858-5870
(252) 902-7061
(252) 364-2863
Mailing address
1540 E ARLINGTON BLVD, GREENVILLE, NC 27858-5870
(252) 902-7061
(252) 364-2863
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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