| NPI | 1740754597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENT TERRY President/CEO 765-543-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics |
| 222Q00000X Developmental Therapist | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist Pediatrics | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2021-09-15 |