Organization
GOOD SHEPHERD THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CRACE (DIRECTOR OF OPERATIONS)
(704) 249-6908
Entity
Organization
Contact information
Practice address
10301 OAK POND CIR, CHARLOTTE, NC 28277-9506
(704) 249-6908
Mailing address
10301 OAK POND CIR, CHARLOTTE, NC 28277-9506
(704) 249-6908
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
11/16/2020
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