Healthcare Provider Details

I. General information

NPI: 1891833455
Provider Name (Legal Business Name): STEPPING STONES PEDIATRIC THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 02/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 TROON TRCE
WINTER SPRINGS FL
32708-4321
US

IV. Provider business mailing address

1000 TROON TRCE
WINTER SPRINGS FL
32708-4321
US

V. Phone/Fax

Practice location:
  • Phone: 321-436-7291
  • Fax:
Mailing address:
  • Phone: 321-436-7291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT9142
License Number StateFL

VIII. Authorized Official

Name: MRS. JULIE VINCENT ROSENZWEIG
Title or Position: PRESIDENT
Credential: OTR
Phone: 321-436-7291