LUMEN PEDIATRIC THERAPY, LLC

SAINT CLAIR SHORES, MI
NPI1093445900
Entity TypeOrganization
Authorized ContactWAYNE KVINTUS
Chief Executive Officer
313-550-6258
Organization Subpart ?No
Primary Taxonomy103K00000X Behavior Analyst
Additional Taxonomies235Z00000X Speech-Language Pathologist,
225X00000X Occupational Therapist
Enumeration Date2022-06-14
Last Update Date2026-04-27
Business Address
LUMEN PEDIATRIC THERAPY, LLC
26210 HARPER AVE STE 200
SAINT CLAIR SHORES, MI 48081-2203
Phone number: 888-485-8636
Mailing Address
LUMEN PEDIATRIC THERAPY, LLC
26210 HARPER AVE STE 200
SAINT CLAIR SHORES, MI 48081-2203
Phone number: 888-485-8636