Organization
PEDIATRIC THERAPLAY SPEECH SERVICES, INC.
Active
Other names
Pediatric Theraplay
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY YOSHINO TEAL CCC-SLP (PRESIDENT)
(704) 258-1724
Entity
Organization
Contact information
Practice address
3403 LINDEN BERRY LN, CHARLOTTE, NC 28269-1300
(704) 258-1724
(704) 598-3024
Mailing address
PO BOX 480462, CHARLOTTE, NC 28269-5320
(704) 258-1724
(704) 598-3024
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
NC
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211876
—
NC
Enumeration date
12/18/2005
Last updated
12/09/2007
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