Pediatric Therapy Group LLC
NPI #1053586685 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1053586685
- Entity Type
- Organization
- Organization Name
- Pediatric Therapy Group LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Apr 24, 2008
- Last Updated
- Feb 17, 2010
Practice Location
- Address
- 1034 ELIZABETH DR
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70815-4509
- Phone
- (225) 921-7216
Authorized Official
- Name
- CANDICE MOREE GRAY, M.A., CCC-SLP
- Title
- OWNER
- Phone
- (225) 921-7216
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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