Wellformed AI

NPI 1306160908 · live from the CMS NPI Registry

Best Life Therapy LLC

Speech-Language Pathologist, in Bridgeport, WV. National Provider Identifier 1306160908, active.

NPI record

NPI1306160908 Type 2 · organization
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location141 State St., Bridgeport, WV 26330
Practice phone305-657-0551
EnumeratedMarch 25, 2010
Last updatedMay 24, 2010
Authorized officialRhea Dyer, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Occupational Therapist225X00000X—
Speech-Language Pathologist, primary235Z00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.