Healthcare Provider Details

I. General information

NPI: 1932881190
Provider Name (Legal Business Name): STEPS TO GROW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2023
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5889 S WILLIAMSON BLVD STE 1401D
PORT ORANGE FL
32128-7498
US

IV. Provider business mailing address

5889 S WILLIAMSON BLVD STE 1401D
PORT ORANGE FL
32128-7498
US

V. Phone/Fax

Practice location:
  • Phone: 386-212-9995
  • Fax:
Mailing address:
  • Phone: 386-212-9995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. EMILY BECKMAN
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 386-212-9995