Organization
CAPABLE KIDS HOME THERAPY CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RANDI MARIE SMITH SLP (PRESIDENT)
(704) 965-0783
Entity
Organization
Contact information
Practice address
5717 WHITEHAWK HILL RD., CHARLOTTE, NC 28227
(704) 965-0783
(704) 545-8021
Mailing address
7427 MATTHEWS-MINT HILL RD., SUITE 105 PMB 168, CHARLOTTE, NC 28227
(704) 965-0783
(704) 545-8021
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211782
—
NC
Enumeration date
05/05/2006
Last updated
03/09/2010
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