NPI 1013726009
Peach Coast Therapy LLC
Practice location
- Address
- 5616 N Kenmore Ave APT 3a, Chicago, IL 60660-4609
- Phone
- (412) 512-9469
Authorised official
- Name
- Elizabeth Stenger
- Title
- Registered Agent
- Phone
- (412) 512-9469
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1013726009
- Entity type
- Organization
- NPI issued
- 3 Jan 2025
- Record last updated
- 3 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.