Organization
PEACE IN PEACE OUT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALY FABER E-RYT, CYT, IYAT (OWNER/MEMBER)
(704) 668-8600
Entity
Organization
Contact information
Practice address
17217 HEDGEROW PARK RD, CHARLOTTE, NC 28277-6662
(704) 668-8600
Mailing address
17217 HEDGEROW PARK RD, CHARLOTTE, NC 28277-6662
(704) 668-8600
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
221700000X
Art Therapist
—
—
225700000X
Massage Therapist
—
—
225800000X
Recreation Therapist
—
—
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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