Organization
123 GROW PEDIATRIC THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA VAUGHAN (OWNER)
(845) 558-2241
Entity
Organization
Contact information
Practice address
932 CADMAN DR, MIDDLETOWN, DE 19709-1528
(845) 558-2241
Mailing address
932 CADMAN DR, MIDDLETOWN, DE 19709-1528
(845) 558-2241
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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