| Grace Pediatric Therapy Services Llc | |
|
609 Henry St Roanoke Rapids NC 27870-2608 | |
| (252) 578-1069 | |
| Not Available |
| Full Name | Grace Pediatric Therapy Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 609 Henry St, Roanoke Rapids, North Carolina |
| Authorized Official Name and Position | Tim Allen (PRESIDENT) |
| Authorized Official Contact | 2525781069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Pediatric Therapy Services Llc 609 Henry St Roanoke Rapids NC 27870-2608 Ph: () - | Grace Pediatric Therapy Services Llc 609 Henry St Roanoke Rapids NC 27870-2608 Ph: (252) 578-1069 |
| NPI Number | 1932086022 |
|---|---|
| Provider Enumeration Date | 08/19/2025 |
| Last Update Date | 08/19/2025 |
| Certification Date | 08/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932086022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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