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GALLANT THERAPY SERVICES NPI 1124253760


NPI Information

NPI: 1124253760
Provider Name: GALLANT THERAPY SERVICES
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
12 SHUMAN AVE STE 16
AUGUSTA, ME
ZIP 04330
Phone: (207) 623-3900
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GALLANT THERAPY SERVICES is a day training developmentally disabled services in Augusta, ME. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. GALLANT THERAPY SERVICES NPI is 1124253760. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12 SHUMAN AVE STE 16
AUGUSTA, ME
ZIP 04330-020
Phone: (207) 623-3900

The provider's authorized official is Ryan Gallant .
The authorized official title is President and has the following contact phone number (207) 623-3900.

The enumeration date for this NPI number is 5/27/2009 and was last updated on 4/12/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225X00000XOccupational TherapistNo
2251C00000XDay Training, Developmentally Disabled ServicesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1172740000MEDICAIDMAINE
2434551000MEDICAIDMAINE

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: 4/28/2024

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