Organization
ACME THERAPIES CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACI SOPER SLP (DIRECTOR)
(276) 806-0662
Entity
Organization
Contact information
Practice address
101 CLEVELAND AVE STE D, MARTINSVILLE, VA 24112-3700
(276) 806-0662
(276) 650-4096
Mailing address
1235 SAM LIONS TRL, MARTINSVILLE, VA 24112-5336
(276) 806-0662
(276) 650-4096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
2202004244
VA
Other
Enumeration date
09/06/2017
Last updated
09/21/2017
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