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Organization

ADVENTURE TIME PEDIATRIC THERAPY & LEARNING CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GAIL IRENE DONALDSON MS CCC/SLP (OWNER)
(724) 458-1500
Entity
Organization

Contact information

Practice address
120 S BROAD ST STE A, GROVE CITY, PA 16127-1544
(724) 458-1500
(724) 458-1501
Mailing address
120 S BROAD ST STE A, P.O. BOX 51, GROVE CITY, PA 16127-1544
(724) 458-1500
(724) 458-1501

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
PT006149L
PA
225XP0200X
Pediatric Occupational Therapist
OC006950L
PA
235Z00000X
Speech-Language Pathologist
Primary
SL005839L
PA

Other

Enumeration date
08/14/2013
Last updated
08/14/2013
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