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Organization
ASSOCAITES IN PEDICATRIC THERAPY
Active
Organization
ASSOCAITES IN PEDICATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA RENEA SAGESER SLP (CEO)
(502) 633-1007
Entity
Organization
Contact information
Practice address
375 E MCCLAIN AVE, SCOTTSBURG, IN 47170-1748
(502) 633-1007
(502) 437-0624
Mailing address
1900 MIDLAND TRAIL SUT 1&2, SHELBYVILLE, KY 40065-8141
(502) 633-1007
(502) 437-0624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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