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Contact Information

PEACE IN PEACE OUT PROGRAM
17217 HEDGEROW PARK RD
CHARLOTTE, NC28277-6662
 Phone: 704-668-8600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
 

Art Therapist

221700000X
 

Massage Therapist

225700000X
 

Recreation Therapist

225800000X
Indicates primary specialty

NPI Profile & details for PEACE IN PEACE OUT PROGRAM · (Female)

NPI # 1922340660
Status Active
Credentials
Entity Individual
Enumeration date 03/20/2013
Last updated 03/20/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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