Organization
INNOVATIVE THERAPY SOLUTIONS 4 U
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA BREEDEN (SPEECH PATHOLOGIST)
(704) 733-0986
Entity
Organization
Contact information
Practice address
7415 DENALI LN, CHARLOTTE, NC 28216-5783
(704) 733-0986
Mailing address
7415 DENALI LN, CHARLOTTE, NC 28216-5783
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4895
NC
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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