| Kinetic Pediatric Therapy, Inc. | |
|
1540 E Arlington Blvd Greenville NC 27858-5870 | |
| (252) 902-7061 | |
| (252) 364-2863 |
| Full Name | Kinetic Pediatric Therapy, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1540 E Arlington Blvd, Greenville, North Carolina |
| Authorized Official Name and Position | Charlie David Edwards (CO-OWNER) |
| Authorized Official Contact | 2529027061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kinetic Pediatric Therapy, Inc. 1540 E Arlington Blvd Greenville NC 27858-5870 Ph: (252) 902-7061 | Kinetic Pediatric Therapy, Inc. 1540 E Arlington Blvd Greenville NC 27858-5870 Ph: (252) 902-7061 |
| NPI Number | 1831081751 |
|---|---|
| Provider Enumeration Date | 07/16/2025 |
| Last Update Date | 07/16/2025 |
| Certification Date | 07/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831081751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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