Organization
CASA CARE PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN L. CRILLY PT, MAPT, DPT (OWNER/CLINIC DIRECTOR)
(704) 892-8074
Entity
Organization
Contact information
Practice address
17115 KENTON DR, SUITE 204-A, CORNELIUS, NC 28031-5645
(704) 892-8074
(704) 892-8075
Mailing address
17115 KENTON DR, SUITE 204-A, CORNELIUS, NC 28031-5645
(704) 892-8074
(704) 892-8075
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
P11495
NC
225XP0200X
Pediatric Occupational Therapist
8676
NC
Other
Enumeration date
07/29/2013
Last updated
01/11/2016
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