Organization
HEARTLAND PEDIATRIC THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA E TOWERY OTR/L (OWNER)
(336) 972-0904
Entity
Organization
Contact information
Practice address
4805 HEARTHSTONE RD, CLEMMONS, NC 27012-7710
(336) 972-0904
Mailing address
4805 HEARTHSTONE RD, CLEMMONS, NC 27012-7710
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5309
NC
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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