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Organization
PEAK PEDIATRIC THERAPY, LLC
Active
Organization
PEAK PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA LYNN MOORE MA, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(609) 501-0389
Entity
Organization
Contact information
Practice address
9185 DOME ROCK PL, COLORADO SPRINGS, CO 80924-2916
(609) 501-0389
Mailing address
9185 DOME ROCK PL, COLORADO SPRINGS, CO 80924-2916
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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