NPI 1336212638
Pediatric Specialty Associates, INC
Practice location
- Address
- 6437 Rucker Rd STE D, Indianapolis, IN 46220-4868
- Phone
- (317) 405-9016
- Fax
- (888) 654-4116
Authorised official
- Name
- Cynthia Holtz
- Title
- Owner/Director
- Phone
- (317) 405-9016
Registered specialties (6)
Early Intervention Provider Agency
Primary
Occupational Therapy Assistant
Physical Therapist
Pediatric Physical Therapist
Speech-Language Pathologist
Day Training/Habilitation Specialist
Registry record
- NPI
- 1336212638
- Entity type
- Organization
- NPI issued
- 16 Nov 2006
- Record last updated
- 13 May 2022
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.