Organization
MOUNTAIN AREA SPECTRUM CENTER
Active
Other names
Pediatric Therapy Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTY DENISE DAVIS OT (VICE PRESIDENT)
(828) 687-1700
Entity
Organization
Contact information
Practice address
15 LOOP RD STE 9, SUITE 2B-3B, ARDEN, NC 28704-8435
(828) 687-1700
(828) 687-1175
Mailing address
20 MALLORY MEADOWS CT, ARDEN, NC 28704-8552
(828) 687-1700
(828) 687-1175
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016U3
BCBS
NC
05
—
7211642
—
NC
Enumeration date
03/21/2007
Last updated
01/15/2008
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