Organization
ACHIEVEMENT PEDIATRIC THERAPIES, LLC
Active
Other names
Achievement Pediatric Therapies, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAUREN MICHELLE LONG COTA/L (OWNER/COTA)
(256) 585-5925
Entity
Organization
Contact information
Practice address
530 SPARKMAN ST SW, HARTSELLE, AL 35640-3120
(256) 585-5925
Mailing address
205 NESMITH RD, BLOUNTSVILLE, AL 35031-6717
(256) 585-5925
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3873
—
AL
Enumeration date
02/05/2019
Last updated
02/05/2019
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