ABC Pediatric Therapy, LLC

Speech-Language Pathologist · O Fallon, IL

Organization Active NPI

NPI number 1124044698

Practice location

634 N Main St
Suite 3
O Fallon, IL 62269-3746
Phone
(618) 632-4222
Fax
(618) 632-4658

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NPI record

NPI
1124044698
Entity type
Organization (Type 2)
Enumeration date
July 15, 2006
Last updated
June 17, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —
Physical Therapist 225100000X — —
Occupational Therapist 225X00000X — —

Authorized official

Name
Amy L. Bruce, MS CCC-SLP
Title
Owner
Phone
(618) 632-4222

About ABC Pediatric Therapy, LLC

ABC Pediatric Therapy, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 634 N Main St, Suite 3, O Fallon, IL 62269-3746. The NPI number 1124044698 was assigned on July 15, 2006 and the record was last updated on June 17, 2011.

The authorized official for this organization is Amy L. Bruce, MS CCC-SLP, Owner.

Frequently asked questions

What is the NPI number of ABC Pediatric Therapy, LLC?

The NPI number is 1124044698.

What is the phone number of ABC Pediatric Therapy, LLC?

The phone number listed for the practice location is (618) 632-4222.

Where is ABC Pediatric Therapy, LLC located?

634 N Main St, Suite 3, O Fallon, IL 62269-3746.

What is the taxonomy code for ABC Pediatric Therapy, LLC?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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