Organization
MOUNTAIN AREA SPECTRUM CENTER, INC
Active
Other names
Pediatric Therapy Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTY D. DAVIS (VICE PRESIDENT)
(828) 712-0245
Entity
Organization
Contact information
Practice address
159 KING ST # B, BREVARD, NC 28712-3364
(828) 862-3282
(828) 862-3889
Mailing address
15 LOOP RD STE 9, ARDEN, NC 28704-8435
(828) 687-1700
(828) 687-1175
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
3247
NC
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016U3
BLUE CROSS AND BLUE SHIEL
NC
05
—
7211642
—
NC
Enumeration date
04/09/2008
Last updated
04/09/2008
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