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Organization

A STEP AHEAD PEDIATRIC THERAPY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL CROSS PT (OWNER)
(859) 426-5666
Entity
Organization

Contact information

Practice address
330 THOMAS MORE PARKWAY, #102, CRESTVIEW HILLS, KY 41017
(859) 426-5666
(859) 426-5665
Mailing address
330 THOMAS MORE PARKWAY, #102, CRESTVIEW HILLS, KY 41017
(859) 426-5666
(859) 426-5665

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
002831
KY
2251P0200X
Pediatric Physical Therapist
225XP0200X
Pediatric Occupational Therapist
006361
KY
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist
KY2628
KY
235Z00000X
Speech-Language Pathologist
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100668910
KY
Enumeration date
03/05/2007
Last updated
08/26/2020
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