| Great Strides Rehabilitation Inc. | |
|
140 Wallace Rd New Smyrna Beach FL 32168-8069 | |
| (904) 488-3228 | |
| (904) 404-7743 |
| Full Name | Great Strides Rehabilitation Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 140 Wallace Rd, New Smyrna Beach, Florida |
| Authorized Official Name and Position | Amanda Streeter (VICE PRESIDENT) |
| Authorized Official Contact | 9049444063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Strides Rehabilitation Inc. Po Box 932184 Atlanta GA 31193-4912 Ph: (904) 886-3228 | Great Strides Rehabilitation Inc. 140 Wallace Rd New Smyrna Beach FL 32168-8069 Ph: (904) 488-3228 |
| NPI Number | 1912655291 |
|---|---|
| Provider Enumeration Date | 03/15/2022 |
| Last Update Date | 09/13/2022 |
| Certification Date | 09/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912655291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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