# JACOB'S LADDER FIRST STEPS PROGRAM

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JACOB'S LADDER PEDIATRIC REHAB CENTER
- **Other names:** Jacob's Ladder Pediatric Rehab Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215194626
- **Legal business name:** JACOB'S LADDER PEDIATRIC REHAB CENTER
- **Authorized official:** MR. NOEL W FRIGO (COO)
- **Authorized official phone:** (219) 763-6858

## Contact information

- **Practice address:** 3325 WILLOWCREEK RD, PORTAGE, IN 46368-5015
- **Practice address phone:** (219) 763-6858
- **Mailing address:** 3325 WILLOWCREEK RD, PORTAGE, IN 46368-5015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 05/22/2008
- **Last updated:** 05/22/2008