| Pruitt Therapy Services Llc | |
|
1605 Prater St Dayton TX 77535-6819 | |
| (832) 506-3839 | |
| Not Available |
| Full Name | Pruitt Therapy Services Llc |
|---|---|
| Speciality | Speech-Language Pathologist |
| Location | 1605 Prater St, Dayton, Texas |
| Authorized Official Name and Position | Brittany Pruitt (OWNER) |
| Authorized Official Contact | 8323416088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pruitt Therapy Services Llc 1605 Prater St Dayton TX 77535-6819 Ph: (832) 506-3839 | Pruitt Therapy Services Llc 1605 Prater St Dayton TX 77535-6819 Ph: (832) 506-3839 |
| NPI Number | 1821689589 |
|---|---|
| Provider Enumeration Date | 01/26/2021 |
| Last Update Date | 10/03/2023 |
| Certification Date | 02/28/2022 |
| Medicare PECOS PAC ID | 6406264811 |
|---|---|
| Medicare Enrollment ID | O20210426000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821689589 | NPI | - | NPPES |
| Provider Name | Brittany Alexandria Pruitt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659960375 PECOS PAC ID: 7214345628 Enrollment ID: I20210426000255 |
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