Healthcare Provider Details

I. General information

NPI: 1487842407
Provider Name (Legal Business Name): FULL CIRCLE PEDIATRIC THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2007
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 UNITY CT
MONROE NC
28110-7878
US

IV. Provider business mailing address

1002 UNITY CT
MONROE NC
28110-7878
US

V. Phone/Fax

Practice location:
  • Phone: 704-283-0028
  • Fax:
Mailing address:
  • Phone: 704-283-0028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. MEREDITH RAMSEY
Title or Position: OWNER/PRESIDENT
Credential: PT
Phone: 704-283-0028