Provider Demographics
NPI:1023727310
Name:STRIDE THERAPY SOLUTIONS INC
Entity type:Organization
Organization Name:STRIDE THERAPY SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SERRANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-908-7642
Mailing Address - Street 1:645 DANAS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-6352
Mailing Address - Country:US
Mailing Address - Phone:470-908-7642
Mailing Address - Fax:561-880-8450
Practice Address - Street 1:645 DANAS RIDGE DR
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-6352
Practice Address - Country:US
Practice Address - Phone:470-908-7642
Practice Address - Fax:561-880-8450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-16
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL32S90OtherBLUE CROSS BLUE SHIELD