Organization
PRIDE PEDIATRIC THERAPY LLC
Active
Other names
Pride Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COURTNEY RAE PRIDE OTR/L (OWNER)
(207) 645-1668
Entity
Organization
Contact information
Practice address
411 US ROUTE 2 E STE C, WILTON, ME 04294-6632
(207) 645-1668
Mailing address
411 US ROUTE 2 E STE C, WILTON, ME 04294-6632
(207) 645-1668
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Enumeration date
07/17/2023
Last updated
04/01/2025
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