Valdosta Pediatric Therapy Services

LBN: Tri State Rehabilitation Inc
Valdosta Pediatric Therapy Services is an health care organization with primary practice located at 202 W Park Ave , Valdosta GA 31602-2507. 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. Tri State Rehabilitation Inc can be contacted via phone (229) 253-8500, or through Reagan, Kathryn via phone (229) 253-8500.

Contact Information

Primary practice address
202 W Park Ave Valdosta GA 31602-2507
Phone: (229) 253-8500
Fax: (229) 253-8522
Website:
Map and Directions
Authorized official contact:
Name: Reagan, Kathryn CCC-SLP
Phone: (229) 253-8500

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 005367 Georgia

Profile Details

NPI number 1629121272
LBN Legal business name Tri State Rehabilitation Inc
DBA Doing business as Valdosta Pediatric Therapy Services
Authorized official Reagan, Kathryn CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 16th, 2007 - about 17 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 1629121272 NPPES
Georgia Other 52171814 BLUE CROSS BLUE SHIELD

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