Organization
INNOVATIVE THERAPY LLC
Active
Other names
Innovative Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY GRACE GLEASON M.S.CCC-SLP (OWNER/MANAGING PARTNER)
(757) 450-0977
Entity
Organization
Contact information
Practice address
900 COMMONWEALTH PLACE, SUITE 365, VIRGINIA BEACH, VA 23464
(757) 373-2023
(757) 447-0139
Mailing address
900 COMMONWEALTH PLACE, SUITE 365, VIRGINIA BEACH, VA 23464
(757) 373-2023
(757) 447-0139
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
07/09/2021
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