Organization
STRIDE PROGRAM, INC
Active
Organization
STRIDE PROGRAM, INC
Active
Other names
STRIDE PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARREN SCOTT DIGUETTE (EXECUTIVE DIRECTOR)
(859) 744-3183
Entity
Organization
Contact information
Practice address
150 MARYLAND AVE, WINCHESTER, KY 40391-1217
(859) 744-3183
(859) 744-4403
Mailing address
150 MARYLAND AVE, BOX 643, WINCHESTER, KY 40391-1217
(859) 744-3183
(859) 744-4403
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/04/2007
Last updated
09/12/2023
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