Organization
PEDIATRIC HANDS ON THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FREIDA SMITH POAG (PRESIDENT)
(980) 320-8275
Entity
Organization
Contact information
Practice address
2557 PEMBROKE RD, GASTONIA, NC 28054-4712
(980) 320-8275
(704) 973-7862
Mailing address
PO BOX 1471, BELMONT, NC 28012-1471
(704) 747-3788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
3364
NC
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7212116
—
NC
Enumeration date
03/19/2007
Last updated
01/05/2023
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