Organization
WISE OWL PEDIATRIC THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA NICOLE PERKINSON MS, OTR/L (OWNER/MANAGER)
(336) 522-9886
Entity
Organization
Contact information
Practice address
5314 W FRIENDLY AVE STE E, GREENSBORO, NC 27410-4351
(336) 285-7324
(336) 579-0693
Mailing address
5314 W FRIENDLY AVE STE E, GREENSBORO, NC 27410-4351
(336) 285-7324
(336) 579-0693
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679021760
—
NC
Enumeration date
07/13/2020
Last updated
09/05/2025
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