Organization
MOORE PEDIATRIC THERAPY SERIVCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY HAYWOOD (OFFICE MANAGER)
(910) 673-5437
Entity
Organization
Contact information
Practice address
1163 SEVEN LAKES DR, WEST END, NC 27376-9752
(910) 673-5437
(910) 673-5438
Mailing address
PO BOX 354, WEST END, NC 27376-0354
(910) 673-5437
(910) 673-5438
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
11/01/2018
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