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Organization

CAROLINA PEDIATRIC THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY GILSTRAP (CLINICAL COORDINATOR)
(828) 670-8056
Entity
Organization

Contact information

Practice address
9 SUMMIT AVE, B, ASHEVILLE, NC 28803-1938
(828) 670-8056
(828) 670-8057
Mailing address
9 SUMMIT AVE, B, ASHEVILLE, NC 28803-1938
(828) 670-8056
(828) 670-8057

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
3314
NC

Other

Enumeration date
12/18/2012
Last updated
12/18/2012
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