Pediatric Developmental Therapy in Fayetteville - Rehabilitation Practitioner
Pediatric Developmental Therapy - NPI 1710183991
Pediatric Developmental Therapy is a Rehabilitation Practitioner in Fayetteville, North Carolina. Pediatric Developmental Therapy practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Pediatric Developmental Therapy is 1710183991. The last update date is 2013-08-15.
Pediatric Developmental Therapy's current location address is Po Box 87294, Fayetteville, North Carolina. You can contact this provider via phone number 9104838331 and fax number 9104838335. The mailing address for Pediatric Developmental Therapy is Po Box 87294, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Developmental Therapy |
|---|---|
| Address | Po Box 87294, Fayetteville, North Carolina |
| Phone Number | 9104838331 |
| Fax Number | 9104838335 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Boliek Payne Haden |
| Credentials | MS CCC SLP |
| Telephone Number | 9104838331 |
NPI Number Detail
| NPI Number | 1710183991 |
|---|---|
| Provider Enumeration Date | 2007-06-25 |
| Last Updated Date | 2013-08-15 |
Provider Mailing Address Detail
| Address | Po Box 87294 |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283047294 |
| Phone Number | 9104838331 |
| Fax Number | 9104838335 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation Practitioner |
|---|---|
| Taxonomy | 225400000X |
|
Definition: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8301184 | NC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Pediatric Developmental Therapy?
The Pediatric Developmental Therapy has been issued the NPI (National Provider Identifier) 1710183991 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Pediatric Developmental Therapy's physical address?
The Pediatric Developmental Therapy is physically located at Po Box 87294, in the city of Fayetteville, NC, with the postal code 283047294.
What is the area of specialization for Pediatric Developmental Therapy, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pediatric Developmental Therapy is Rehabilitation Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 225400000X.
On what date did Pediatric Developmental Therapy receive its 1710183991 assignment from the Centers for Medicare & Medicaid Services?
The Pediatric Developmental Therapy was assigned its 1710183991 on 2007-06-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Pediatric Developmental Therapy last refreshed?
The information related to the Pediatric Developmental Therapy, including its address, specialty, and other relevant details, was last updated on 2013-08-15.