Organization Name: | A STEP AHEAD PEDIATRIC THERAPY |
NPI Number: | 1093844177 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL BRENT CROSS (OWNER PRESIDENT) |
Mailing Address: | 2865 Chancellor Dr Suite 105 Crestview Hills |
State: | KY US |
Postal Code: | 410173912 |
Phone Number: | 8594265666 |
Fax Number: | 8594265665 |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 002831 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | KY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |