Healthcare Provider Details

I. General information

NPI: 1952693210
Provider Name (Legal Business Name): STEP BY STEP THERAPEUTIC CHILDCARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2011
Last Update Date: 05/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5140 NANNIE HELEN BURROUGHS AVE NE
WASHINGTON DC
20019-5509
US

IV. Provider business mailing address

5140 NANNIE HELEN BURROUGHS AVE NE
WASHINGTON DC
20019-5509
US

V. Phone/Fax

Practice location:
  • Phone: 202-450-1066
  • Fax: 202-450-1160
Mailing address:
  • Phone: 202-450-1066
  • Fax: 202-450-1160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StateDC

VIII. Authorized Official

Name: MS. RICHELLE W HARVEY
Title or Position: OWNER
Credential: OTR/L
Phone: 202-450-1066