Organization
DYMOND SPEECH & REHAB., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT CHRISTOPHER DYMOND (PRACTICE MANANGER)
(919) 777-0240
Entity
Organization
Contact information
Practice address
113 HILLCREST DR, SANFORD, NC 27330-4020
(919) 777-0240
Mailing address
113 HILLCREST DR, SANFORD, NC 27330-4020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211931
—
NC
Enumeration date
06/04/2006
Last updated
05/02/2013
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