Provider Demographics
NPI:1598268047
Name:MAKING STRIDES THERAPEUTIC SERVICES, INC.
Entity Type:Organization
Organization Name:MAKING STRIDES THERAPEUTIC SERVICES, INC.
Other - Org Name:MAKING STRIDES OF VIRGINIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGERHANS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:610-656-8438
Mailing Address - Street 1:8137 LAKE MARGARET TER
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23838-5559
Mailing Address - Country:US
Mailing Address - Phone:610-656-8438
Mailing Address - Fax:
Practice Address - Street 1:8137 LAKE MARGARET TER
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23838-5559
Practice Address - Country:US
Practice Address - Phone:610-656-8438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-12
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305006453261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation