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Organization

COASTAL PEDIATRIC THERAPY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY ALAN STONE OTR/L (DIRECTOR)
(252) 422-5584
Entity
Organization

Contact information

Practice address
705 MANDOLIN LN, NEWPORT, NC 28570-9366
(252) 422-5584
(252) 223-2756
Mailing address
705 MANDOLIN LN, NEWPORT, NC 28570-9366
(252) 422-5584
(252) 223-2756

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
NC
235Z00000X
Speech-Language Pathologist
NC

Other

Enumeration date
08/13/2010
Last updated
04/05/2012
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