Provider Demographics
NPI:1639669187
Name:STEP BY STEP PEDIATRIC OUTPATIENT PT OT SLP PSYCHOLOGY AND LMSW SERV
Entity Type:Organization
Organization Name:STEP BY STEP PEDIATRIC OUTPATIENT PT OT SLP PSYCHOLOGY AND LMSW SERV
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:PER
Authorized Official - Middle Name:
Authorized Official - Last Name:STAMPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-427-7610
Mailing Address - Street 1:1057 E HENRIETTA RD STE 500
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-2655
Mailing Address - Country:US
Mailing Address - Phone:585-427-7610
Mailing Address - Fax:585-427-7410
Practice Address - Street 1:1057 E HENRIETTA RD STE 500
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-2655
Practice Address - Country:US
Practice Address - Phone:585-427-7610
Practice Address - Fax:585-427-7410
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEP BY STEP PT, OT AND SLT SERVICES, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-10
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty