Organization
GOLDEN PEDIATRIC THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MORGAN VANGILDER OTR/L (CO-OWNER, OCCUPATIONAL THERAPIST)
(334) 322-5530
Entity
Organization
Contact information
Practice address
84 CHAPEL HILL ST, PIKE ROAD, AL 36064-3859
(334) 322-5530
Mailing address
84 CHAPEL HILL ST, PIKE ROAD, AL 36064-3859
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225736754
—
AL
05
—
1235835323
—
AL
Enumeration date
05/16/2024
Last updated
05/16/2024
Update your record
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