Organization
HAPPY FEET THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN C CARROLL M.A. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST, OWNER)
(704) 918-8302
Entity
Organization
Contact information
Practice address
2731 SUNBERRY LN NW, CONCORD, NC 28027-6555
(704) 918-8184
(704) 782-2918
Mailing address
2731 SUNBERRY LN NW, CONCORD, NC 28027-6555
(704) 918-8184
(704) 782-2918
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5379
NC
235Z00000X
Speech-Language Pathologist
Primary
6699
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7413482
—
NC
Enumeration date
06/06/2011
Last updated
06/06/2011
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