Organization
FIRST STEPS PEDIATRIC THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSEMARY DEMELLO PT (PRESIDENT-CLINICAL DIRECTOR)
(704) 256-4281
Entity
Organization
Contact information
Practice address
2711 RANDOLPH RD, 509, CHARLOTTE, NC 28207-2034
(704) 491-1455
(704) 256-4282
Mailing address
7017 PROVIDENCE RD S, WAXHAW, NC 28173-7434
(704) 256-4281
(704) 256-4282
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
7633
NC
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
8271
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7212073
—
NC
Enumeration date
12/27/2006
Last updated
09/02/2009
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