| Antley Pediatric Therapy, Corp. | |
|
7275 Woodcock Trl, Stanley, NC 28164-7705 | |
| (704) 236-3895 | |
| (318) 345-6997 |
| Full Name | Antley Pediatric Therapy, Corp. |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 7275 Woodcock Trl, Stanley, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053478461 | NPI | - | NPPES |
| 7211749 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251P0200X | Physical Therapist - Pediatrics | 5341 (North Carolina) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | 5341 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Antley Pediatric Therapy, Corp. 7275 Woodcock Trl, Stanley, NC 28164-7705 Ph: (704) 236-3895 | Antley Pediatric Therapy, Corp. 7275 Woodcock Trl, Stanley, NC 28164-7705 Ph: (704) 236-3895 |
Nicole Lynne Heasley, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 364 S Hwy 16, Ste 100, Stanley, NC 28164 Phone: 704-746-9698 | |
Cameron Takes, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 364 Hwy 16 S, Ste 100, Stanley, NC 28164 Phone: 704-746-9698 | |
Megan Berry, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 364 S Hwy 16, Ste 200, Stanley, NC 28164 Phone: 704-746-9698 |