Organization
QUEEN CITY THERAPY, PLLC
Active
Organization
QUEEN CITY THERAPY, PLLC
Active
Other names
Little Wonders 123, Little Wonders Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS ANDREW MCDANIEL (VICE PRESIDENT)
(704) 752-1616
Entity
Organization
Contact information
Practice address
5113 PIPER STATION DR STE 103, CHARLOTTE, NC 28277-6690
(704) 752-1616
Mailing address
204 WOOD DUCK LOOP, MOORESVILLE, NC 28117-8136
(336) 596-5112
Taxonomy
Speciality
Code
Description
License number
State
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/31/2018
Last updated
04/16/2025
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