Organization
GROW PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABBEY K OLIVER SPEECH PATHOLOGIST (OWNER)
(256) 591-6132
Entity
Organization
Contact information
Practice address
3331 HENRY RD, ANNISTON, AL 36207-6343
(256) 624-6377
(256) 624-6376
Mailing address
146 WINDY HILL RD, RAINBOW CITY, AL 35906-8691
(256) 591-6132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
03/28/2019
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