Childhood Early Intervention, LLC

NPI #1336203843 in Fayetteville, Pennsylvania

Provider Information

NPI Number: 1336203843
Entity Type: Organization
Organization Name: Childhood Early Intervention, LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 20, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 6743 FAIRWAY DR E
City: Fayetteville
State: Pennsylvania
ZIP Code: 17222-9400
Phone: (717) 360-3989

Authorized Official

Name: MS. AUDREY LINN LIST, PHYSICAL THERAPIST
Title: CHIEF EXECUTIVE OFFICER
Phone: (717) 360-3989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Physical Therapist - Pediatrics — Pediatrics	2251P0200X
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X
Speech-Language Pathologist	235Z00000X
Occupational Therapist	225X00000X	Primary

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