Evolve Pediatric Therapy LLC
NPI #1538935309 in Shenandoah Junction, West Virginia
Provider Information
- NPI Number
- 1538935309
- Entity Type
- Organization
- Organization Name
- Evolve Pediatric Therapy LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Dec 1, 2023
- Last Updated
- Jul 11, 2024
Practice Location
- Address
- 164 RAWHIDE LN
- State
- West Virginia
- ZIP Code
- 25442-4817
- Phone
- (304) 582-5320
Authorized Official
- Name
- RACHEL MAUCK, M.A. CCC-SLP
- Title
- CO-OWNER/SLP
- Phone
- (304) 268-7353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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