| NPI | 1760871636 |
|---|---|
| Doing Business As | SHINE PEDIATRIC THERAPY CORNING |
| Entity Type | Organization |
| Authorized Contact | AMBER GIFFORD President 870-926-5420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2024-10-01 |