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Organization

ADVANCED PEDIATRIC THERAPIES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COLLEEN BAKER (OFFICE MANAGER)
(775) 825-4744
Entity
Organization

Contact information

Practice address
1625 E PRATER WAY STE 107, SPARKS, NV 89434-8963
(775) 825-4744
(775) 351-1644
Mailing address
1625 E PRATER WAY STE 107, SPARKS, NV 89434-8963
(775) 825-4744
(775) 351-1644

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
225100000X
Physical Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100506123
NV
Enumeration date
04/13/2021
Last updated
04/13/2021
About Stedi
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  • Eligibility checks
  • EDI platform