Organization
PIVOTAL INTERVENTIONS, INC
Active
Other names
Gym-Jam Therapeutics, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MARY STRAUSSER (PRESIDENT)
(570) 593-5484
Entity
Organization
Contact information
Practice address
150 CHAMBERLAINE AVE, POTTSVILLE, PA 17901-8648
(570) 593-5484
Mailing address
150 CHAMBERLAINE AVE, POTTSVILLE, PA 17901-8648
(570) 593-5484
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
10/29/2020
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