Healthcare Provider Details

I. General information

NPI: 1639771439
Provider Name (Legal Business Name): STEP-BY-STEP THERAPEUTIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2020
Last Update Date: 11/16/2020
Certification Date: 11/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

823 BRIGHTSEAT RD
HYATTSVILLE MD
20785-2078
US

IV. Provider business mailing address

4625 G ST SE
WASHINGTON DC
20019-7834
US

V. Phone/Fax

Practice location:
  • Phone: 301-908-6237
  • Fax:
Mailing address:
  • Phone: 301-908-6237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: RICHELLE WILSON HARVEY
Title or Position: OWNER
Credential:
Phone: 301-908-6237