Provider Demographics
NPI:1952675258
Name:STEP BY STEP PEDIATRIC THERAPY
Entity Type:Organization
Organization Name:STEP BY STEP PEDIATRIC THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:AKIN
Authorized Official - Last Name:HOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:706-554-5700
Mailing Address - Street 1:PO BOX 965
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30830-0965
Mailing Address - Country:US
Mailing Address - Phone:706-554-5700
Mailing Address - Fax:
Practice Address - Street 1:2485 HIGHWAY 88
Practice Address - Street 2:
Practice Address - City:HEPHZIBAH
Practice Address - State:GA
Practice Address - Zip Code:30815-4691
Practice Address - Country:US
Practice Address - Phone:706-554-5700
Practice Address - Fax:706-554-5700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-04
Last Update Date:2012-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy