Provider Demographics
NPI:1891149589
Name:WE ACHIEVE PEDIATRIC THERAPY, LLC
Entity Type:Organization
Organization Name:WE ACHIEVE PEDIATRIC THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CUJAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-940-2088
Mailing Address - Street 1:1187 CANA RD
Mailing Address - Street 2:
Mailing Address - City:MOCKSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27028-6126
Mailing Address - Country:US
Mailing Address - Phone:336-940-2088
Mailing Address - Fax:
Practice Address - Street 1:1187 CANA RD
Practice Address - Street 2:
Practice Address - City:MOCKSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27028-6126
Practice Address - Country:US
Practice Address - Phone:336-940-2088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0100225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty