Organization
CHILDREN'S INNOVATIVE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH RICHARDSON (DIRECTOR)
(919) 275-9675
Entity
Organization
Contact information
Practice address
9621 BITTER MELON DR., ANGLER, NC 27501-5917
(919) 275-9675
(919) 400-4324
Mailing address
9621 BITTER MELON DR., ANGLER, NC 27501-5917
(919) 275-9675
(919) 400-4324
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
08/02/2021
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