Organization
FRONT PORCH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA KENLEY SABO MA CCC/SLP (SOLE MEMBER)
(330) 719-8989
Entity
Organization
Contact information
Practice address
437 JARONTE DR, YOUNGSTOWN, OH 44512-4431
(330) 719-8989
Mailing address
437 JARONTE DR, YOUNGSTOWN, OH 44512-4431
(330) 719-8989
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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