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Organization

COLUMBUS PEDIATRIC THERAPY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ASHLY HOPE VALAS M.A., CCC-SLP (SPEECH/LANGUAGE PATHOLOGIST)
(910) 625-5443
Entity
Organization

Contact information

Practice address
3450 JAMES B WHITE HWY S, WHITEVILLE, NC 28472-8678
(910) 625-5443
(910) 641-4152
Mailing address
PO BOX 220, NAKINA, NC 28455-0220
(910) 625-5443
(910) 641-4152

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7200167
NC
Enumeration date
01/28/2008
Last updated
12/09/2008
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