Organization
A CHILD'S CONNECTION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRYN ANN CLERICI PT (PHYSICAL THERAPIST/PRESIDENT)
(828) 612-7779
Entity
Organization
Contact information
Practice address
1764 PINEY RD, HICKORY, NC 28602-8255
(828) 612-7779
(828) 294-6037
Mailing address
1764 PINEY RD, HICKORY, NC 28602-8255
(828) 612-7779
(828) 294-6037
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
4926
NC
2251P0200X
Pediatric Physical Therapist
Primary
5255
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013P5
BCBS GROUP PROVIDER NUMBE
NC
01
—
078GN
KATHY CLERICI BCBS PROVID
NC
01
—
178NH
LAUREN ROBERTS BCBS PROVI
NC
05
—
7211187
—
NC
Enumeration date
10/10/2006
Last updated
08/22/2020
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