Organization
GREAT STRIDES REHABILITATION INC.
Active
Other names
Great Strides Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA STREETER (CHIEF ADMINISTRATIVE OFFICER)
(006) 999-3958
Entity
Organization
Contact information
Practice address
250 LAND GRANT ST, ST AUGUSTINE, FL 32092
(904) 886-3228
Mailing address
PO BOX 932184, ATLANTA, GA 31193-2184
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
174400000X
Specialist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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