| NPI | 1912514910 |
|---|---|
| Doing Business As | THE INDIGO CHILD THERAPEUTIC |
| Doing Business As | TIC THERAPEUTIC |
| Entity Type | Organization |
| Authorized Contact | TIFFANY DICKS Owner 240-244-9778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 103K00000X Behavior Analyst | |
| 224Z00000X Occupational Therapy Assistant | |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2021-08-18 |