Organization
GROWING MINDS PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BOWEN PIRTLE MS, CCC-SLP (FOUNDER)
(980) 224-3894
Entity
Organization
Contact information
Practice address
914B WESTBROOK DR, CHARLOTTE, NC 28202-3352
(980) 224-3894
Mailing address
914B WESTBROOK DR, CHARLOTTE, NC 28202-3352
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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