| NPI | 1982208781 |
|---|---|
| Doing Business As | INNOVATIVE THERAPY |
| Entity Type | Organization |
| Authorized Contact | LINDSEY GRACE GLEASON Owner/Managing Partner 757-450-0977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2021-07-09 |