Child And Family Development
Clinic/Center, Physical Therapy in Charlotte, NC. Organization (NPI-2).
NPI number1245779339
StatusActive
Last updated in NPPESFeb 22, 2017
Details
- NPI
- 1245779339
- Entity type
- Organization (NPI-2)
- Legal business name
- Child And Family Development
- Organization subpart
- No
- Enumeration date
- Feb 22, 2017
- Last updated
- Feb 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 16884 | NC | Yes |
Practice location
4012 Park Rd Ste 200Charlotte, NC 28209-2378
Phone 704-332-4834
Mailing address
4012 Park Rd Ste 200Charlotte, NC 28209-2378
Phone 704-332-4834
Authorized official
Pam Jones
President
7043324834
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