An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Developmental Disabilities |
261QD1600X | |||
Feeding, Eating & Swallowing |
225XF0002X | 67 | Occupational Therapist in Private Practice | |
Pediatrics |
2251P0200X | 65 | Physical Therapist in Private Practice | |
Physical Therapy |
261QP2000X | |||
Speech-Language Pathologist |
235Z00000X | 15 | Speech Language Pathologist |
| NPI # | 1790029312 |
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| LBN Legal business name | EDUCATIONAL THERAPY ASSESSMENT & SERVICES | ||||
| Authorized official | DOREEN SPEARMAN - (PRESIDENT/EXECUTIVE DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/20/2012 | ||||
| Last updated | 11/20/2012 - About 14 years ago | ||||
| Identifiers |
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