Gorge Falls Therapy Slp, Ot, PLLC
Early Intervention Provider Agency in Ithaca, NY. Organization (NPI-2).
NPI number1295258689
StatusActive
Last updated in NPPESNov 29, 2018
Details
- NPI
- 1295258689
- Entity type
- Organization (NPI-2)
- Legal business name
- Gorge Falls Therapy Slp, Ot, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 18, 2017
- Last updated
- Nov 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | 0165021 | NY | Yes |
Practice location
225 S Fulton St Ste DIthaca, NY 14850-3344
Phone 607-437-0141
Mailing address
52 Benjamin Hill RdNewfield, NY 14867-9795
Phone 607-437-0141
Other practice locations
430 W State St Ste 205
Ithaca, NY 14850-5279
Ithaca, NY 14850-5279
Phone 607-437-0141 · Fax 607-437-0141
Authorized official
Deana Tracy Silvernail
Owner/Slp
6074370141
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Other Early Intervention Provider Agency providers in Ithaca, NY
- Franziska Racker CentersNPI 1225483506
- Franziska Racker CentersNPI 1932356227
- Gorge Falls Therapy Slp, Ot, PLLCNPI 1821556358
- Maria Muscente, Lcsw, PCNPI 1851784409
All 5 Early Intervention Provider Agency providers in Ithaca · All 2,555 providers in Ithaca
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