| Organization Name: | ANTLEY PEDIATRIC THERAPY, CORP. |
| NPI Number: | 1053478461 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHERRI B ANTLEY (PRESIDENT) |
| Mailing Address: | 7275 Woodcock Trl Stanley |
| State: | NC US |
| Postal Code: | 281647705 |
| Phone Number: | 7042363895 |
| Fax Number: | 3183456997 |
| NPI Enumeration Date: | 01/03/2007 |
| NPI Last Update Date: | 09/13/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 5341 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |