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General NPI Number Information
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NPI Number | 1942729603
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Entity Type | Organization
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Legal Business Name | CAROLINA THERAPY SOLUTIONS FOR KIDS, LLC
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Dates
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Enumeration Date | 09/13/2017
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 236 NORTHPARK DR STE 101
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City | ROCK HILL
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State | SC
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Zip | 29730-4294
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Country | US
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Telephone | 803-324-2202
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Fax | 803-620-3087
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Provider Business Mailing Address
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Address Line | 458 ANVIL DRAW PL
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City | ROCK HILL
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State | SC
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Zip | 29730-9236
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Country | US
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Telephone | 803-577-3701
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND CEO
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Name | MRS. KIMBERLY HAGWOOD MOOD
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Credential | M.S., OTR/L
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Telephone | 803-577-3701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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