Organization
BABY STEPS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RENEE DICICCO DPT (DOCTOR OF PHYSICAL THERAPY)
(980) 585-9950
Entity
Organization
Contact information
Practice address
3254 PENDLETON AVE, CHARLOTTE, NC 28210-4708
(980) 585-9950
(704) 981-6178
Mailing address
3254 PENDLETON AVE, CHARLOTTE, NC 28210-4708
(571) 244-2220
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125584330
INDIVIDUAL NPI 1
NC
Enumeration date
01/11/2021
Last updated
01/11/2021
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