Organization
PEDS CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUNJAL PATEL (MPT)
(704) 219-6246
Entity
Organization
Contact information
Practice address
7000 JOYFUL NOISE LN, INDIAN TRAIL, NC 28079-7810
(704) 219-6246
Mailing address
7000 JOYFUL NOISE LN, INDIAN TRAIL, NC 28079-7810
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
10001
NC
225200000X
Physical Therapy Assistant
3009
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211704
—
NC
Enumeration date
10/11/2007
Last updated
10/11/2007
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