Pediatric Developmental Therapy
Pediatric Developmental Therapy is a Rehabilitation Practitioner in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.
- Licensed in
- NC
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
1289 Oliver StFayetteville, NC 28304-4450
Phone: (910) 483-8331
Fax: (910) 483-8335
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X (NC) |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1710183991 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Haden Boliek — Owner · (910) 483-8331 |
| NPI enumerated | June 25, 2007 |
| Last updated in NPPES | August 15, 2013 |
| Mailing address | Po Box 87294, Fayetteville, NC 28304-7294 |
Other providers in Fayetteville
-
Miss. Kiara Jo Fortune
325 N Cool Spring St, Fayetteville, NC 28301-5137 · (910) 323-4925
-
Teddy O Mason
8134 Cliffdale Rd Ste 102, Fayetteville, NC 28314-5804 · (919) 931-3505
-
Mrs. Matilda Antionette Page, ITS
6958 Nexus Ct Ste 102, Fayetteville, NC 28304-2642 · (910) 423-5622
-
Nell Payne
1289 Oliver St, Fayetteville, NC 28304-4450 · (910) 483-8331
-
Sheri Adams Walker, ITS
6958 Nexus Ct Ste 102, Fayetteville, NC 28304-2642 · (910) 423-5622
-
Mrs. Kirsten Brooke Williams, MS
1289 Oliver St, Fayetteville, NC 28304-4450 · (910) 483-8331