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Organization
SUPPORT SERVICES FOR INFANTS AND TODDLERS, P.C.
Active
Organization
SUPPORT SERVICES FOR INFANTS AND TODDLERS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD JOSEPH GOSTYNSKI JR. (PRESIDENT)
(570) 262-6850
Entity
Organization
Contact information
Practice address
20 MICHELLE DR, HUNLOCK CREEK, PA 18621-2926
(570) 262-6850
(570) 477-3604
Mailing address
20 MICHELLE DR, HUNLOCK CREEK, PA 18621-2926
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009927930001
—
PA
Enumeration date
03/18/2007
Last updated
09/11/2025
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