Pediatric Therapy Inc.

LBN: Pediatric Therapy Inc.
Pediatric Therapy Inc. is an health care organization with primary practice located at 4101 Bryan Ave Nw , Albuquerque NM 87114-5858. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Pediatric Therapy Inc. can be contacted via phone (505) 620-0541, or through Zellner, Monica Renae via phone (505) 620-0541.

Contact Information

Primary practice address
4101 Bryan Ave Nw Albuquerque NM 87114-5858
Phone: (505) 620-0541
Fax: (505) 899-2218
Website:
Map and Directions
Authorized official contact:
Name: Zellner, Monica Renae M.S., CCC-SLP
Phone: (505) 620-0541

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3299 New Mexico

Profile Details

NPI number 1336261254
LBN Legal business name Pediatric Therapy Inc.
DBA Doing business as
Authorized official Zellner, Monica Renae M.S., CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336261254 NPPES
New Mexico Other 30074851 DD AND MF WAIVER

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