Organization
REGULATE YOUTH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA DRIA D ETIENNE (OWNER)
(678) 551-3646
Entity
Organization
Contact information
Practice address
601 N POLK ST STE L, PINEVILLE, NC 28134-7472
(678) 551-3646
Mailing address
8228 MARSHALL BRIDGE RD APT 4108, CHARLOTTE, NC 28277-6768
(678) 551-3646
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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