Organization
LITTLE ACHIEVERS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH LOCKE MARTIN OTRL (OCCUPATIONAL THERAPIST)
(919) 772-0956
Entity
Organization
Contact information
Practice address
12450 CLEVELAND RD, STE 104, GARNER, NC 27529-8353
(919) 772-0956
Mailing address
12450 CLEVELAND RD, STE 104, GARNER, NC 27529-8353
(919) 772-0956
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
P10182
NC
225XP0200X
Pediatric Occupational Therapist
Primary
5768
NC
235Z00000X
Speech-Language Pathologist
8458
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7200136
—
NC
Enumeration date
04/14/2007
Last updated
04/15/2011
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