MEDICARE: ABC THERAPY CONNECTIONS 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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1881414142
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABC THERAPY CONNECTIONS LLC

Provider Business Mailing Address
First Line	:	29856 RIVER BEND RD
Second Line	:
City	:	POTEAU
State	:	OK
Zip	:	74953-7134
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	29856 RIVER BEND RD
Second Line	:
City	:	POTEAU
State	:	OK
Zip	:	74953-7134
Country	:	US
Telephone Number	:	918-658-4441
Fax Number	:

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	ALLISON CRAIG
Credential	:	MS CCC SLP
Telephone Number	:	918-658-4441

Provider Enumeration Date	:	10/11/2024
Last Update Date	:	10/11/2024

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Directions to “ABC THERAPY CONNECTIONS LLC ” Practice Location

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