Provider Demographics
NPI:1437324134
Name:ARISE AND SHINE THERAPY, INC.
Entity Type:Organization
Organization Name:ARISE AND SHINE THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:A
Authorized Official - Last Name:WILCOX-GALBATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-995-8136
Mailing Address - Street 1:3727 ROSE LAKE DR
Mailing Address - Street 2:STE. 103
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28217-2846
Mailing Address - Country:US
Mailing Address - Phone:704-995-8136
Mailing Address - Fax:704-943-9181
Practice Address - Street 1:3727 ROSE LAKE DR
Practice Address - Street 2:STE. 103
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28217-2846
Practice Address - Country:US
Practice Address - Phone:704-995-8136
Practice Address - Fax:704-943-9181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty