Healthcare Provider Details

I. General information

NPI: 1619000387
Provider Name (Legal Business Name): BABY STEPS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 09/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

790 6TH ST NW
WINTER HAVEN FL
33881-4013
US

IV. Provider business mailing address

3205 HAWKS RIDGE PT
KISSIMMEE FL
34741-7525
US

V. Phone/Fax

Practice location:
  • Phone: 863-229-8319
  • Fax: 863-228-8492
Mailing address:
  • Phone: 407-574-8048
  • Fax: 407-574-3908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT13378
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT499
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT10517
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT12310
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA7661
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA6687
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ4176
License Number StateFL

VIII. Authorized Official

Name: MRS. CECILIA GARCIA CALAQUIAN
Title or Position: PRESIDENT
Credential: PT
Phone: 407-574-8048