Compleat Kidz Pediatric Therapy | |
2675 Court Drive Gastonia NC 28054 | |
(704) 824-7800 | |
(704) 824-7898 |
Full Name | Compleat Kidz Pediatric Therapy |
---|---|
Speciality | Physical Therapist |
Location | 2675 Court Drive, Gastonia, North Carolina |
Authorized Official Name and Position | Heather Quillen (PAYOR RELATIONS MANAGER) |
Authorized Official Contact | 7042711213 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Compleat Kidz Pediatric Therapy Po Box 749 Belmont NC 28012-0749 Ph: (704) 824-7800 | Compleat Kidz Pediatric Therapy 2675 Court Drive Gastonia NC 28054 Ph: (704) 824-7800 |
NPI Number | 1407932775 |
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Provider Enumeration Date | 10/31/2006 |
Last Update Date | 06/20/2024 |
Certification Date | 06/20/2024 |
Medicare PECOS PAC ID | 2769653757 |
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Medicare Enrollment ID | O20120326000672 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407932775 | NPI | - | NPPES |
GP7803 | Medicaid | SC | |
720132B | Medicaid | NC | |
NPA821 | Medicaid | SC |
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