Organization
INCLUSIVE PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON SCULLEY (OWNER)
(919) 438-2051
Entity
Organization
Contact information
Practice address
10205 SAN REMO PL, WAKE FOREST, NC 27587-1624
(919) 438-2051
Mailing address
10205 SAN REMO PL, WAKE FOREST, NC 27587-1624
(919) 438-2051
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497481147
ERIN HARDEE
—
01
—
1518366780
STACEY CHAMBERS
—
01
—
1588922694
ALISON SCULLEY
—
01
—
1770605123
SUZANNE ZIEMER
—
Enumeration date
10/07/2022
Last updated
10/07/2022
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