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Contact Information

ADAPTIVE PEDIATRIC THERAPY LLC
4540 LAFAYETTE ST STE C
MARIANNA, FL32446-3236
 Phone: 850-557-4603
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for ADAPTIVE PEDIATRIC THERAPY LLC · (Female)

NPI Number 1871277715
Status Active
Credentials
Entity Individual
Enumeration date 06/12/2023
Last updated 07/10/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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