Organization
STEPPING STONE PEDIATRIC THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LEE AINSWORTH (CEO)
(256) 767-1576
Entity
Organization
Contact information
Practice address
465 EAST DR. HICKS BLVD., FLORENCE, AL 35630-5762
(256) 767-1576
(256) 767-1577
Mailing address
465 EAST DR. HICKS BLVD., FLORENCE, AL 35630-5762
(256) 767-1576
(256) 767-1577
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132065
—
AL
01
—
511-87575
BCBS OF ALABAMA
AL
Enumeration date
05/13/2011
Last updated
07/17/2020
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