123 Grow Pediatric Therapy Inc.
NPI #1730963877 in Middletown, Delaware
Provider Information
- NPI Number
- 1730963877
- Entity Type
- Organization
- Organization Name
- 123 Grow Pediatric Therapy Inc.
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Aug 21, 2023
- Last Updated
- Aug 21, 2023
Practice Location
- Address
- 932 CADMAN DR
- City
- Middletown
- State
- Delaware
- ZIP Code
- 19709-1528
- Phone
- (845) 558-2241
Authorized Official
- Name
- MRS. AMANDA VAUGHAN
- Title
- OWNER
- Phone
- (845) 558-2241
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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