Organization
CHILDHOOD EARLY INTERVENTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUDREY LINN LIST PHYSICAL THERAPIST (CHIEF EXECUTIVE OFFICER)
(717) 360-3989
Entity
Organization
Contact information
Practice address
6743 FAIRWAY DR E, FAYETTEVILLE, PA 17222-9400
(717) 360-3989
(717) 352-8360
Mailing address
6743 FAIRWAY DR E, FAYETTEVILLE, PA 17222-9400
(717) 360-3989
(717) 352-8360
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016437230001
—
PA
Enumeration date
12/20/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us