Organization
PEDIATRIC THERAPY NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER BUCKLEY LANDRY PT (OWNER/PHYSICAL THERPAIST)
(828) 358-3115
Entity
Organization
Contact information
Practice address
1040 SOUTHGATE CORPORATE PARK SW, HICKORY, NC 28602-1518
(828) 358-3115
(866) 433-2198
Mailing address
PO BOX 1290, HICKORY, NC 28603-1290
(828) 358-3115
(866) 433-2198
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
8732
NC
2251P0200X
Pediatric Physical Therapist
Primary
8732
NC
225X00000X
Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
52602014002
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528378171
—
NC
Enumeration date
01/02/2014
Last updated
01/20/2021
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