Organization
CAROLINA KIDS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER RENEE NITKIN OTR/L (PRESIDENT)
(919) 449-2542
Entity
Organization
Contact information
Practice address
5411 SHAKER HEIGHTS LN, RALEIGH, NC 27613-1490
(919) 449-2542
Mailing address
5411 SHAKER HEIGHTS LN, RALEIGH, NC 27613-1490
(919) 449-2542
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/27/2007
Last updated
11/28/2007
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