| Pediatric Therapy Associates | |
|
4201 Lake Boone Trail Suite 4 Raleigh NC 27607-7511 | |
| (919) 781-4434 | |
| (919) 781-5851 |
| Full Name | Pediatric Therapy Associates |
|---|---|
| Speciality | Physical Therapist |
| Location | 4201 Lake Boone Trail, Raleigh, North Carolina |
| Authorized Official Name and Position | Lu K Dickinson (PRACTICE MANAGER OWNER) |
| Authorized Official Contact | 9197814434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Therapy Associates 4201 Lake Boone Trail Suite 4 Raleigh NC 27607-7511 Ph: (919) 781-4434 | Pediatric Therapy Associates 4201 Lake Boone Trail Suite 4 Raleigh NC 27607-7511 Ph: (919) 781-4434 |
| NPI Number | 1447310958 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 02/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447310958 | NPI | - | NPPES |
| 7211307 | Medicaid | NC | |
| 07794 | Other | NC | BCBS |
| 7211306 | Medicaid | NC | |
| 8300000 | Medicaid | NC |
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