Organization
CHILD AND FAMILY DEVELOPMENT INC.
Active
Organization
CHILD AND FAMILY DEVELOPMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA CATHERINE TIEDEMAN (BILLING AND MEDICAL RECORDS MANAGER)
(704) 332-4834
Entity
Organization
Contact information
Practice address
4012 PARK RD, SUITE 200, CHARLOTTE, NC 28209-2378
(704) 332-4834
(704) 372-9653
Mailing address
4012 PARK RD STE 200, CHARLOTTE, NC 28209-2378
(704) 332-4834
(704) 372-9653
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
720103C
—
NC
05
—
7211539
—
NC
Enumeration date
02/24/2006
Last updated
01/29/2024
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