Organization
ACHIEVE BEYOND PEDIATRICS SPEECH THERAPY, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA DENARDO (CM & CREDENTIALING MANAGER)
(631) 385-7780
Entity
Organization
Contact information
Practice address
8135 PAINTER AVE STE 201, WHITTIER, CA 90602-3166
(562) 698-6600
Mailing address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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