Provider Demographics
NPI:1760825996
Name:LITTLE STEPS TO GREAT STRIDES OT SERVICES
Entity Type:Organization
Organization Name:LITTLE STEPS TO GREAT STRIDES OT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:REGINA
Authorized Official - Last Name:MOYER
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:215-396-1051
Mailing Address - Street 1:518 NEWPORT CIR
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-2489
Mailing Address - Country:US
Mailing Address - Phone:215-396-1051
Mailing Address - Fax:215-322-6997
Practice Address - Street 1:518 NEWPORT CIR
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19053-2489
Practice Address - Country:US
Practice Address - Phone:215-396-1051
Practice Address - Fax:215-322-6997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-08
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC011455225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty