MEDICARE: HIDE AND SPEAK THERAPEUTIC SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2251P0200X	Pediatric Physical Therapist
2	225X00000X	Occupational Therapist
3	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1073374443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIDE AND SPEAK THERAPEUTIC SERVICES

Provider Business Mailing Address
First Line	:	11905 ALBERTA DR
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19154-3414
Country	:	US
Telephone Number	:	215-300-3337
Fax Number	:

Provider Business Practice Location Address
First Line	:	11905 ALBERTA DR
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19154-3414
Country	:	US
Telephone Number	:	215-300-3337
Fax Number	:

Authorized Official
Title or Position	:	OWNER, SLP
Name	:	CAITLIN IRVING
Credential	:
Telephone Number	:	215-300-3337

Provider Enumeration Date	:	01/22/2024
Last Update Date	:	01/22/2024

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Directions to “HIDE AND SPEAK THERAPEUTIC SERVICES ” Practice Location

Language	Start Address	Practice Location

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