Healthcare Provider Details

I. General information

NPI: 1609187178
Provider Name (Legal Business Name): CAROLINA THERAPY CONNECTION, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2010
Last Update Date: 04/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925A TURNBURY DR
GREENVILLE NC
27858-6168
US

IV. Provider business mailing address

1925A TURNBURY DR
GREENVILLE NC
27858-6168
US

V. Phone/Fax

Practice location:
  • Phone: 252-341-9944
  • Fax: 252-439-0957
Mailing address:
  • Phone: 252-341-9944
  • Fax: 252-439-0957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. CYNTHIA ANN TAYLOR
Title or Position: OWNER
Credential: MS, OTR/L
Phone: 252-814-8134