A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Residential Treatment Facility, Physical Disabilities |
320700000X | |||
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice | |
Speech-Language Pathologist |
235Z00000X | 15 | Speech Language Pathologist |
| NPI Number | 1104110840 |
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| LBN Legal business name | NEW LIGHT THERAPY | ||||
| Authorized official | ERIN VAILLANCOURT - (PHYSICAL THERAPIST) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/28/2011 | ||||
| Last updated | 06/18/2024 - More than a year ago | ||||
| Identifiers |
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NEW LIGHT THERAPY
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