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NPI Code Detail

MEDICARE: DYMOND SPEECH & REHAB., P.A.

MEDICARE: DYMOND SPEECH & REHAB., P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist
22251P0200XPediatric Physical Therapist
3225X00000XOccupational Therapist
4225100000XPhysical Therapist
5235Z00000XSpeech-Language Pathologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487692851
Entity Type Code : Organization
Provider Name (Legal Business Name) : DYMOND SPEECH & REHAB., P.A.
Provider Business Mailing Address
First Line : 113 HILLCREST DR
Second Line :
City : SANFORD
State : NC
Zip : 27330-4020
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 113 HILLCREST DR
Second Line :
City : SANFORD
State : NC
Zip : 27330-4020
Country : US
Telephone Number : 919-777-0240
Fax Number :
Authorized Official
Title or Position : PRACTICE MANANGER
Name : BRETT CHRISTOPHER DYMOND
Credential :
Telephone Number : 919-777-0240
Provider Enumeration Date : 06/04/2006
Last Update Date : 05/02/2013

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Directions to “DYMOND SPEECH & REHAB., P.A. ” Practice Location

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