Provider Demographics
NPI:1811703275
Name:UNIQUE STRIDES THERAPY
Entity type:Organization
Organization Name:UNIQUE STRIDES THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NWANNEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:UDEKA
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:713-584-9758
Mailing Address - Street 1:1401 PLYMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:EAST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02333-2416
Mailing Address - Country:US
Mailing Address - Phone:713-584-9758
Mailing Address - Fax:
Practice Address - Street 1:1401 PLYMOUTH ST
Practice Address - Street 2:
Practice Address - City:EAST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02333-2416
Practice Address - Country:US
Practice Address - Phone:713-584-9758
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No261QA3000XAmbulatory Health Care FacilitiesClinic/CenterAugmentative Communication