Organization
INTERACT PEDIATRIC THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA COLE REYES OT/L (OT/L; CO-OWNER)
(336) 279-9008
Entity
Organization
Contact information
Practice address
3907 W MARKET ST # A, GREENSBORO, NC 27407-1303
(336) 772-5499
(336) 740-9099
Mailing address
5603 W FRIENDLY AVE STE B, #274, GREENSBORO, NC 27410-4252
(336) 772-5499
(336) 740-9099
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
4531
NC
235Z00000X
Speech-Language Pathologist
3223
NC
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7200380
—
NC
Enumeration date
04/07/2010
Last updated
01/17/2024
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