Provider Demographics
NPI:1851555627
Name:LEAPS & BOUNDS THERAPEUTIC SERVICES OF HAMPSTEAD
Entity Type:Organization
Organization Name:LEAPS & BOUNDS THERAPEUTIC SERVICES OF HAMPSTEAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:ZURAVEL
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:910-431-5567
Mailing Address - Street 1:324 HAMPSTEAD VLG
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28443-8277
Mailing Address - Country:US
Mailing Address - Phone:910-431-5567
Mailing Address - Fax:
Practice Address - Street 1:324 HAMPSTEAD VLG
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NC
Practice Address - Zip Code:28443-8277
Practice Address - Country:US
Practice Address - Phone:910-431-5567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5443225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty