Organization
HAND SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH HAND (VICE PRESIDENT)
(336) 260-4516
Entity
Organization
Contact information
Practice address
564 RIDGE AVE, LIBERTY, NC 27298-3604
(919) 548-2130
(336) 923-5848
Mailing address
564 RIDGE AVE, LIBERTY, NC 27298-3604
(919) 548-2130
(336) 923-5848
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6811
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952544462
NPI NUMBER
NC
Enumeration date
04/29/2015
Last updated
04/29/2015
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