Organization
CAROLINA PEDIATRIC REHABILITATION SERVICES, INC.
Active
Organization
CAROLINA PEDIATRIC REHABILITATION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN M. KANE-MAXWELL PHYSICAL THERAPIST (PRESIDENT)
(910) 520-0202
Entity
Organization
Contact information
Practice address
405 S 2ND ST, WILMINGTON, NC 28401-5001
(910) 520-0202
(910) 254-3566
Mailing address
405 S 2ND ST, WILMINGTON, NC 28401-5001
(910) 520-0202
(910) 254-3566
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4511
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7210741
—
NC
Enumeration date
06/22/2007
Last updated
04/22/2013
Update your record
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