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Contact Information

MOORE PEDIATRIC THERAPY SERIVCES
1163 SEVEN LAKES DR
WEST END, NC27376
 Phone: 910-673-5437
 Fax: 910-673-5438
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Behavior Analyst

103K00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
 

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MOORE PEDIATRIC THERAPY SERIVCES

NPI # 1982864849
LBN Legal business name MOORE PEDIATRIC THERAPY SERIVCES
Authorized official CYNTHIA SECURA - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2008
Last updated 07/10/2023 - About 3 years ago
Identifiers
NC Medicaid 7200169
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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