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Organization
THE CENTER FOR PEDIATRIC THERAPY INC
Active
Organization
THE CENTER FOR PEDIATRIC THERAPY INC
Active
Parent organization
THE CENTER FOR PEDIATRIC THERAPY INC
Other names
the center for pediatric therapy inc speech language pathology
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CENTER FOR PEDIATRIC THERAPY INC
Authorized official
MR. WAYNE S JENSEN (BUSINESS MANAGER)
(610) 670-8600
Entity
Organization
Contact information
Practice address
9 BRISTOL CT, WYOMISSING, PA 19610-1851
(610) 670-8600
Mailing address
9 BRISTOL CT, WYOMISSING, PA 19610-1851
(610) 670-8600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL001515L
PA
235Z00000X
Speech-Language Pathologist
SL008394
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1914048
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/11/2007
Last updated
11/13/2007
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