Organization · NPI-2

Achieve Pediatric Therapy Tx LLC

Speech-Language Pathologist, · Dallas, TX

NPI number1124703327

StatusActive

Last updated in NPPESAug 24, 2023

Details

NPI: 1124703327
Entity type: Organization (NPI-2)
Legal business name: Achieve Pediatric Therapy Tx LLC
Organization subpart: No
Enumeration date: Jun 16, 2023
Certification date: Aug 24, 2023
Last updated: Aug 24, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
235Z00000X	Speech-Language Pathologist,	–	–	Yes
225100000X	Physical Therapist	–	–
225X00000X	Occupational Therapist	–	–

Practice location

5050 Quorum Dr Ste 700
Dallas, TX 75254-1410

Phone 877-522-4438

Mailing address

6137 N Bernard St
Chicago, IL 60659-2211

Phone 877-522-4438

Authorized official

Basya Goldfeder
Owner
8478686531

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