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A Step Above Pediatric Therapy

Speech-Language Pathologist, in Suwanee, GA. Organization (NPI-2).

NPI number1235846874
StatusActive
Last updated in NPPESMay 30, 2023

Details

NPI
1235846874
Entity type
Organization (NPI-2)
Legal business name
A Step Above Pediatric Therapy
Organization subpart
No
Enumeration date
Nov 2, 2022
Certification date
May 30, 2023
Last updated
May 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes
225100000X Physical Therapist––
225X00000X Occupational Therapist––

Practice location

2001 Lawrenceville Suwanee Rd Ste 201
Suwanee, GA 30024-2626

Phone 678-889-0803

Mailing address

2001 Lawrenceville Suwanee Rd Ste 201
Suwanee, GA 30024-2626

Phone 678-889-0803 · Fax 678-716-3441

Authorized official

Shamara Walker
Owner
6788890803

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