NPI Registry.org

Avenue Therapy Services

NPI Registration Record

Provider / OrganizationNPIDate Certified
AVENUE THERAPY SERVICES18014926162023-01-21

The organization Avenue Therapy Services is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1801492616. Registration indicates Avenue Therapy Services is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Speech-Language Pathologist (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers)

Entity TypeOrganization
Provider OrganizationAVENUE THERAPY SERVICES
Practice Office Address2159 MACKENNA DR
GRAHAM, NC US
Practice Office Telephone9192839067
Mailing Address2159 MACKENNA DR
GRAHAM, NC 272535428 US
Business Telephone3362236096
Business Fax3365865356
Authorized OfficialASHLEY VENISE EDGERTON, SPEECH LANGUAGE
3362236096
HPT Codes
CodePractice
License No
State
235Z00000X PRIMARY
Speech, Language and Hearing Service Providers
Speech-Language Pathologist
Speech-Language Pathologist

Speech/Occupational/Physical Therapy/Chiropractor

Speech-Language Pathologist
Speech, Language and Hearing Service Providers
193400000X SINGGroup Code
OPI Codes
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