Organization
COLLECTIVE THERAPY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN HURLEY CCC-SLP (INCORPORATOR)
(919) 332-3221
Entity
Organization
Contact information
Practice address
507 WAKEFIELD DR APT C, CHARLOTTE, NC 28209-3148
(919) 332-3221
Mailing address
507 WAKEFIELD DR APT C, CHARLOTTE, NC 28209-3148
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
12/03/2019
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