| Organization Name: | ABC PEDIATRIC REHAB |
| NPI Number: | 1114082922 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALAN EDGAR WOLFE (DIRECTOR OF OCCUPATIONAL THERAPY) |
| Mailing Address: | 10620 Stone Bunker Drive Mint Hill |
| State: | NC US |
| Postal Code: | 28227 |
| Phone Number: | 7047710051 |
| Fax Number: | 8008069071 |
| NPI Enumeration Date: | 12/22/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 10550 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |