| Gateway Pediatric Therapy Llc | |
|
32100 Telegraph Rd Suite 185 Bingham Farms MI 48025-2452 | |
| (248) 494-2524 | |
| Not Available |
| Full Name | Gateway Pediatric Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 32100 Telegraph Rd, Bingham Farms, Michigan |
| Authorized Official Name and Position | Christina Jean Vestevich (THERAPIST / OWNER) |
| Authorized Official Contact | 2485094537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Pediatric Therapy Llc 32100 Telegraph Rd Suite 185 Bingham Farms MI 48025-2452 Ph: (248) 494-2524 | Gateway Pediatric Therapy Llc 32100 Telegraph Rd Suite 185 Bingham Farms MI 48025-2452 Ph: (248) 494-2524 |
| NPI Number | 1043622780 |
|---|---|
| Provider Enumeration Date | 05/29/2014 |
| Last Update Date | 03/29/2021 |
| Certification Date | 03/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043622780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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