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NPI 1568770568

NPI 1568770568 : STEP BY STEP PEDIATRIC THERAPY, LLC : WAYNESBORO, GA

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General NPI Number Information
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    NPI Number           |    1568770568
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    Entity Type          |    Organization 
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    Legal Business Name  |    STEP BY STEP PEDIATRIC THERAPY, LLC 
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Dates
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    Enumeration Date     |    09/24/2010
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    Last Update Date     |    09/04/2025
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Provider Practice Location Address
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    Address Line         |    114 DOGWOOD DR 
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    City                 |    WAYNESBORO
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    State                |    GA
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    Zip                  |    30830-5446
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    Country              |    US
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    Telephone            |    706-833-1985
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    Fax                  |    706-466-7006
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Provider Business Mailing Address
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    Address Line         |    PO BOX 965 
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    City                 |    WAYNESBORO
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    State                |    GA
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    Zip                  |    30830-0965
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    Country              |    US
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    Telephone            |    706-554-5700
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/PHYSICAL THERAPIST
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    Name                 |     JENNIFER A HOOD 
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    Credential           |    MPT
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    Telephone            |    706-554-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251P0200X
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    Taxonomy Name        |    Pediatric Physical Therapist
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    License Number       |    PT007306
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    License Number State |    GA
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