Organization
ADVANTAGE THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA PETERS (PRESIDENT)
(919) 824-4748
Entity
Organization
Contact information
Practice address
8402 SIX FORKS RD STE 103, RALEIGH, NC 27615-3071
(919) 395-6242
Mailing address
8402 SIX FORKS RD STE 103, RALEIGH, NC 27615-3071
(919) 395-6242
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5296
NC
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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