| NPI | 1518311067 |
|---|---|
| Doing Business As | PRESTIGE THERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | COURTNEY LANGELLO Speech Language Pathologist 401-359-4898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103K00000X Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 251S00000X | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2020-11-23 |