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Organization
PEDIATRIC THERAPY SOURCE
Active
Organization
PEDIATRIC THERAPY SOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY BRANDS M.A., CCC-SLP (OWNER - SPEECH THERAPIST)
(412) 498-7369
Entity
Organization
Contact information
Practice address
800 BURSCA DR STE 804, BRIDGEVILLE, PA 15017-1451
(412) 408-6177
(412) 604-3960
Mailing address
111 CRESCENT HILL RD, OAKDALE, PA 15071-3701
(412) 498-7369
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
02/15/2021
Last updated
04/20/2023
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