# PAT'S PALS THERAPY RANCH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093388985
- **Authorized official:** ALEXANDRIA WATKINS OTD, OTR (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (317) 837-1417

## Contact information

- **Practice address:** 5422 E COUNTY ROAD 600 S, PLAINFIELD, IN 46168-8638
- **Practice address phone:** (317) 837-1417
- **Mailing address:** 5422 E COUNTY ROAD 600 S, PLAINFIELD, IN 46168-8638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/20/2021
- **Last updated:** 07/20/2021