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NPI Code Detail

MEDICARE: XCITE STEPS, LLC

MEDICARE: XCITE STEPS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
2225100000XPhysical Therapist
3225X00000XOccupational Therapist
4235Z00000XSpeech-Language Pathologist
5103K00000XBehavior Analyst

General Provider Information

NPI Number : 1194005108
Entity Type Code : Organization
Provider Name (Legal Business Name) : XCITE STEPS, LLC
Provider Business Mailing Address
First Line : PO BOX 631277
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-1277
Country : US
Telephone Number : 858-428-0222
Fax Number : 847-584-2604
Provider Business Practice Location Address
First Line : 9245 ACTIVITY RD STE 106
Second Line :
City : SAN DIEGO
State : CA
Zip : 92126-4442
Country : US
Telephone Number : 858-428-0222
Fax Number : 847-584-2604
Authorized Official
Title or Position : CREDENTIALING MANAGER
Name : JULIE BUSH
Credential :
Telephone Number : 847-584-2604
Provider Enumeration Date : 08/22/2011
Last Update Date : 09/14/2022

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Directions to “XCITE STEPS, LLC ” Practice Location

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