Organization
SEEDS OF SUCCESS THERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA PETERS (OWNER)
(240) 271-5730
Entity
Organization
Contact information
Practice address
2345 SPRUCE GOOSE ST APT C427, LAS VEGAS, NV 89135-2625
(240) 271-5730
Mailing address
2345 SPRUCE GOOSE ST APT C427, LAS VEGAS, NV 89135-2625
(240) 271-5730
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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