Organization
CHILDWORKS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN P BESSEY PT, PCS (CEO)
(704) 575-2670
Entity
Organization
Contact information
Practice address
8257 TRADD CT, CHARLOTTE, NC 28210-7297
(704) 575-2670
(704) 553-7587
Mailing address
8257 TRADD CT, CHARLOTTE, NC 28210-7297
(704) 575-2670
(704) 553-7587
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
4003
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004526411
AETNA
NC
01
—
0796N
BLUE CROSS BLUE SHIELD
NC
05
—
721041G
—
NC
01
—
D3557
MEDCOST
NC
Enumeration date
01/22/2007
Last updated
08/22/2020
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