# JACOB'S LADDER PEDIATRIC REHAB CENTER

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

## Provider details

- **NPI number:** 1164251849
- **Authorized official:** MARIANN FRIGO (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (219) 764-4888

## Contact information

- **Practice address:** 1595 S CALUMET RD STE 3, CHESTERTON, IN 46304-2389
- **Practice address phone:** (219) 764-4888
- **Practice address fax:** (219) 898-4258
- **Mailing address:** 1595 S CALUMET RD STE 3, CHESTERTON, IN 46304-2389
- **Mailing address phone:** (219) 764-4888
- **Mailing address fax:** (219) 898-4258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2024
- **Last updated:** 07/30/2024