Organization
GREAT STRIDES REHABILITATION INC.
Active
Other names
Great Strides Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA STREETER (VICE PRESIDENT)
(800) 699-9395
Entity
Organization
Contact information
Practice address
1764 TREE BLVD STE 2, ST AUGUSTINE, FL 32084-5723
(904) 886-3228
Mailing address
PO BOX 932184, ATLANTA, GA 31193-2184
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
174400000X
Specialist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
02/22/2023
Last updated
02/26/2024
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