Organization
PROPEL PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA RING PT (OWNER)
(336) 404-1684
Entity
Organization
Contact information
Practice address
1125 PINE KNOLLS RD, KERNERSVILLE, NC 27284-8232
(336) 497-3072
(336) 497-3072
Mailing address
1125 PINE KNOLLS RD, KERNERSVILLE, NC 27284-8232
(336) 497-3072
(336) 497-3072
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
10601
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7212106
—
NC
Enumeration date
12/01/2010
Last updated
12/01/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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