Organization
ABILITATIONS CHILDREN'S THERAPY & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MOCK (OFFICE MANAGER)
(919) 844-6611
Entity
Organization
Contact information
Practice address
11030 RAVEN RIDGE RD, SUITE 101, RALEIGH, NC 27614
(919) 345-6973
Mailing address
11030 RAVEN RIDGE RD, SUITE 101, RALEIGH, NC 27614-8511
(919) 844-6611
(919) 844-6612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/27/2008
Last updated
09/01/2016
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