Organization
FIRST CLASS PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JADA NICOLE LESLIE JOHNSON (OWNER /OCCUPATIONAL THERAPIST)
(704) 476-9925
Entity
Organization
Contact information
Practice address
112 OAK CROSSING DR, SHELBY, NC 28152-1010
(704) 476-9925
Mailing address
112 OAK CROSSING DR, SHELBY, NC 28152-1010
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
06/08/2024
Last updated
06/08/2024
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