BRAVE WINGS THERAPY PC NPI 1497304430

NPI Information

NPI: 1497304430
Provider Name: BRAVE WINGS THERAPY, PC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1211 HAMBURG TPKE STE 224
WAYNE, NJ
ZIP 07470
Phone: (973) 800-8515
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BRAVE WINGS THERAPY, PC is a multi-specialty clinic center in Wayne, NJ. BRAVE WINGS THERAPY, PC NPI is 1497304430. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1211 HAMBURG TPKE STE 224
WAYNE, NJ
ZIP 07470-056
Phone: (973) 800-8515

The provider's authorized official is Jennifer Moore .
The authorized official title is Co-director/slp and has the following contact phone number (973) 800-8515.

The enumeration date for this NPI number is 9/11/2019 and was last updated on 10/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103K00000X	Behavior Analyst		No
2	225XP0200X	Occupational Therapist	Pediatrics	No
3	235Z00000X	Speech-Language Pathologist		No
4	261QM1300X	Clinic/Center	Multi-Specialty	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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