Organization
GRACE PEDIATRIC THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ALLEN (OWNER)
(252) 578-1069
Entity
Organization
Contact information
Practice address
400 BECKER DR STE B, ROANOKE RAPIDS, NC 27870-3165
(252) 578-1069
Mailing address
400 BECKER DR STE B, ROANOKE RAPIDS, NC 27870-3165
(252) 578-1069
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/19/2025
Last updated
12/11/2025
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