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NPI Code Detail

MEDICARE: CHILDREN MAKING STRIDES

MEDICARE: CHILDREN MAKING STRIDES
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1255864617
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN MAKING STRIDES
Provider Business Mailing Address
First Line : 6 RESNIK RD STE 210
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-5379
Country : US
Telephone Number : 508-563-5767
Fax Number :
Provider Business Practice Location Address
First Line : 6 RESNIK RD STE 210
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-5379
Country : US
Telephone Number : 508-563-5767
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : CHAIM FISKUS
Credential :
Telephone Number : 508-563-5767
Provider Enumeration Date : 04/04/2017
Last Update Date : 08/10/2023

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Directions to “CHILDREN MAKING STRIDES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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