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General NPI Number Information
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NPI Number | 1417900382
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Entity Type | Organization
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Legal Business Name | CAROLINA KIDS THERAPY SERVICES, INC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 16818 BRIDGETON LN
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-4837
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Country | US
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Telephone | 704-293-1856
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Fax | 704-987-3704
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Provider Business Mailing Address
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Address Line | PO BOX 628
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City | HUNTERSVILLE
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State | NC
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Zip | 28070-0628
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Country | US
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Telephone | 704-293-1856
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Fax | 704-987-3704
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHAWNA CARY-COLEMAN
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Credential | MPT
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Telephone | 704-293-1856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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