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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