Organization
ACHIEVE PEDIATRIC THERAPY EARLY INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER B GRAY M.S., OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(407) 277-5400
Entity
Organization
Contact information
Practice address
1525 S ALAFAYA TRL, SUITE 102, ORLANDO, FL 32828-8926
(407) 277-5400
(321) 281-4942
Mailing address
1525 S. ALAFAYA TRAIL, SUITE 102, ORLANDO, FL 32828
(407) 277-5400
(321) 281-4942
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003591700
—
FL
Enumeration date
01/03/2013
Last updated
01/03/2013
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