Organization
ACME SQUARED THERAPIES COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI SOPER (SLP/OWNER)
(276) 806-0662
Entity
Organization
Contact information
Practice address
1235 SAM LIONS TRL, MARTINSVILLE, VA 24112-5336
(276) 806-0662
Mailing address
1235 SAM LIONS TRL, MARTINSVILLE, VA 24112-5336
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376643064
PERSONAL NPI
—
Enumeration date
09/13/2021
Last updated
09/13/2021
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