Healthcare Provider Details

I. General information

NPI: 1235971722
Provider Name (Legal Business Name): HAPPY STEPS THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2024
Last Update Date: 06/06/2024
Certification Date: 06/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 STRATFORD AVE APT 319
STRATFORD CT
06615-6379
US

IV. Provider business mailing address

1111 STRATFORD AVE UNIT 319
STRATFORD CT
06615-6379
US

V. Phone/Fax

Practice location:
  • Phone: 786-266-4504
  • Fax:
Mailing address:
  • Phone: 786-266-4504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CLAUDIA GARCIA
Title or Position: MEMBER
Credential: OT
Phone: 786-266-4504