NPI 1134668957

Pediatric Therapy Associates

Organisation Early Intervention Provider Agency Evansville, IN

Practice location

Address: 4605 Boardwalk Dr Suite C, Evansville, IN 47725-8938
Phone: (812) 306-5989

Authorised official

Name: Alita Nadine Storey
Title: Speech Pathologist
Phone: (812) 306-5989

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 171683 (KY)

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Registry record

NPI: 1134668957
Entity type: Organization
NPI issued: 13 Feb 2017
Record last updated: 13 Feb 2017

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.