NPI 1013426980

Integrated Pediatric Therapies

Organisation Physical Medicine & Rehabilitation Physician Whiteville, NC

Practice location

Address: 138 Memory Plz, Whiteville, NC 28472-2640
Phone: (910) 393-9749
Fax: (910) 250-1244
Mailing address: 3260 Oceanic Bay Dr, Southport, NC 28461-6401

Authorised official

Name: Jeffrey W Wickline
Title: Owner and Therapist
Phone: (203) 217-9366

Registered specialties (3)

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in North Carolina →

Home Health Agency

Agencies Taxonomy 251E00000X Licence 9721 (NC)

Other Home Health providers in North Carolina →

Home Health Agency

Agencies Taxonomy 251E00000X Licence 1758 (CT)

Registry record

NPI: 1013426980
Entity type: Organization
NPI issued: 23 Sep 2017
Record last updated: 17 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.