Organization
CAPABLE KIDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG DOUGLAS STOVER (PRESIDENT)
(724) 301-3772
Entity
Organization
Contact information
Practice address
135 SNYDER RD, HERMITAGE, PA 16148-3431
(724) 342-3898
Mailing address
135 SNYDER RD, HERMITAGE, PA 16148-3431
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028641660001
—
PA
Enumeration date
09/10/2013
Last updated
02/16/2017
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