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NPI Code Detail

MEDICARE: DREAMWEAVERS UNLIMITED, INC.

MEDICARE: DREAMWEAVERS UNLIMITED, INC.
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
1235Z00000XSpeech-Language Pathologist8076NC

General Provider Information

NPI Number : 1659544021
Entity Type Code : Organization
Provider Name (Legal Business Name) : DREAMWEAVERS UNLIMITED, INC.
Provider Business Mailing Address
First Line : PO BOX 6035
Second Line :
City : GASTONIA
State : NC
Zip : 28056-6000
Country : US
Telephone Number : 704-868-8551
Fax Number : 704-868-8552
Provider Business Practice Location Address
First Line : 1010 E GARRISON BLVD
Second Line :
City : GASTONIA
State : NC
Zip : 28054-4521
Country : US
Telephone Number : 704-868-8551
Fax Number : 704-868-8552
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : ELIZABETH HUFFSTETLER
Credential :
Telephone Number : 704-868-8551
Provider Enumeration Date : 04/08/2008
Last Update Date : 05/31/2011

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Directions to “DREAMWEAVERS UNLIMITED, INC. ” Practice Location

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