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Organization

STRIDES PEDIATRIC THERAPY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARLEY JUAREZ (DIRECTOR OF OPERATIONS)
(801) 414-0766
Entity
Organization

Contact information

Practice address
2909 N HIGHWAY 73, CEDAR VALLEY, UT 84013-9619
(801) 414-0766
Mailing address
13417 S AINTREE AVE, DRAPER, UT 84020-8887
(801) 414-0766

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
2251P0200X
Pediatric Physical Therapist
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
04/10/2019
Last updated
04/06/2020
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