Organization
JUMPSTART THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE H BARRETT MS, CCC-SLP (OWNER)
(760) 814-0179
Entity
Organization
Contact information
Practice address
736 HARRISON DR, GETTYSBURG, PA 17325-8961
(760) 814-0179
Mailing address
736 HARRISON DR, GETTYSBURG, PA 17325-8961
(760) 814-0179
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
PA
235Z00000X
Speech-Language Pathologist
Primary
SL009773
PA
261QP2000X
Physical Therapy Clinic/Center
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102818996
—
PA
05
—
103223290
—
PA
Enumeration date
07/17/2017
Last updated
07/21/2022
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