Healthcare Provider Details

I. General information

NPI: 1306988753
Provider Name (Legal Business Name): ONSLOW COUNTY SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 08/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BROADHURST RD
JACKSONVILLE NC
28540-3551
US

IV. Provider business mailing address

200 BROADHURST RD P.O. BOX 99
JACKSONVILLE NC
28540-3551
US

V. Phone/Fax

Practice location:
  • Phone: 910-455-2211
  • Fax: 910-455-0376
Mailing address:
  • Phone: 910-455-2211
  • Fax: 910-455-0376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number225X0000X
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number22520000X
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number225X00000X
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number2355S0801X
License Number StateNC
# 5
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number235Z00000X
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNC

VIII. Authorized Official

Name: MRS. CLARA J TALTON
Title or Position: EXCEPTIONAL CHILDREN DIRECTOR
Credential:
Phone: 910-455-2211