Healthcare Provider Details

I. General information

NPI: 1184823601
Provider Name (Legal Business Name): STEP BY STEP PEDIATRIC THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2007
Last Update Date: 10/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 READING BLVD
WYOMISSING PA
19610-2605
US

IV. Provider business mailing address

1701 READING BLVD
WYOMISSING PA
19610-2605
US

V. Phone/Fax

Practice location:
  • Phone: 610-372-0933
  • Fax: 610-372-0945
Mailing address:
  • Phone: 610-372-0933
  • Fax: 610-372-0945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC002440L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StatePA

VIII. Authorized Official

Name: MRS. DORE BLANCHET
Title or Position: OWNER
Credential: MS OTR/L
Phone: 610-360-1165