Organization
SOUTHERN PIEDMONT PEDIATRIC THERAPY, LLC
Active
Other names
Southern Piedmont Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
GARRET TOMMASULO (MEMBER/MANAGER)
(704) 604-2585
Entity
Organization
Contact information
Practice address
1028 ANTIOCH WOODS LN, MATTHEWS, NC 28104-7406
(704) 604-2585
Mailing address
1028 ANTIOCH WOODS LN, MATTHEWS, NC 28104-7406
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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