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Organization
PEDIATRIC THERAPY SERVICES INC
Active
Organization
PEDIATRIC THERAPY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY D DOBSON RPT (CEO)
(507) 388-5437
Entity
Organization
Contact information
Practice address
150 SAINT ANDREWS CT, SUITE 310, MANKATO, MN 56001-8659
(507) 388-5437
(507) 388-2108
Mailing address
150 SAINT ANDREWS CT, SUITE 310, MANKATO, MN 56001-8659
(507) 388-5437
(507) 388-2108
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123219
UCARE OF MN
MN
05
—
211329500
—
MN
01
—
78430
HEALTH PARTNERS, MN
MN
01
—
8B515PE
BCBS OF MN PT CLINIC #
MN
01
—
8G323PE
BCBS OT CLINIC #
MN
01
—
8G374PE
BCBS SPEECH #
MN
01
—
PREFERRED ONE
PREFERRED ONE
MN
Enumeration date
01/27/2006
Last updated
08/22/2014
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