Provider Demographics
NPI:1922293612
Name:ADVANCED THERAPY SOLUTIONS, INC.
Entity Type:Organization
Organization Name:ADVANCED THERAPY SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAISLIP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-651-3042
Mailing Address - Street 1:1760 24TH AVENUE CT NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-9652
Mailing Address - Country:US
Mailing Address - Phone:904-651-3042
Mailing Address - Fax:
Practice Address - Street 1:1760 24TH AVENUE CT NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-9652
Practice Address - Country:US
Practice Address - Phone:904-651-3042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6369225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty