Organization
PEDIATRIC THERAPY SOLUTIONS, LLC
Active
Organization
PEDIATRIC THERAPY SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE JOY DAVIS-KORNGUT MS OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(609) 213-6439
Entity
Organization
Contact information
Practice address
3131 PRINCETON PIKE STE 100, LAWRENCEVILLE, NJ 08648-2201
(609) 213-6439
Mailing address
3131 PRINCETON PIKE, BUILDING 4 SUITE 100, LAWRENCEVILLE, NJ 08648
(609) 213-6439
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023324225
INDIVIDUAL NPI
NJ
Enumeration date
09/07/2017
Last updated
07/21/2022
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