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Organization
JACOB'S LADDER FIRST STEPS PROGRAM
Active
Organization
JACOB'S LADDER FIRST STEPS PROGRAM
Active
Parent organization
JACOB'S LADDER PEDIATRIC REHAB CENTER
Other names
Jacob's Ladder Pediatric Rehab Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACOB'S LADDER PEDIATRIC REHAB CENTER
Authorized official
MR. NOEL W FRIGO (COO)
(219) 763-6858
Entity
Organization
Contact information
Practice address
3325 WILLOWCREEK RD, PORTAGE, IN 46368-5015
(219) 763-6858
Mailing address
3325 WILLOWCREEK RD, PORTAGE, IN 46368-5015
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
NULL
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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