Organization
BOONE PEDIATRIC THERAPY PLLC
Active
Other names
Maple Tree Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE WHIGHAM MS, OTR/L (OCCUPATIONAL THERAPIST)
(828) 528-1617
Entity
Organization
Contact information
Practice address
419 E MAIN STREET, SUITE 2, JEFFERSON, NC 28640
(828) 528-1617
Mailing address
118 SKYLER LN, BOONE, NC 28607-6768
(919) 437-5575
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
06/24/2024
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