Organization
GREENSBORO CEREBRAL PALSY ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA MIXSON LYON M. ED. (EXECUTIVE DIRECTOR)
(336) 375-3575
Entity
Organization
Contact information
Practice address
3205 E WENDOVER AVE, GREENSBORO, NC 27405-6431
(336) 375-2575
(336) 375-2481
Mailing address
3205 E WENDOVER AVE, GREENSBORO, NC 27405-6431
(336) 375-2575
(336) 375-2481
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7210494
—
NC
Enumeration date
01/29/2007
Last updated
09/11/2025
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