# ASSOCAITES IN PEDICATRIC THERAPY

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

## Provider details

- **NPI number:** 1508312364
- **Authorized official:** ANGELA RENEA SAGESER SLP (CEO)
- **Authorized official phone:** (502) 633-1007

## Contact information

- **Practice address:** 375 E MCCLAIN AVE, SCOTTSBURG, IN 47170-1748
- **Practice address phone:** (502) 633-1007
- **Practice address fax:** (502) 437-0624
- **Mailing address:** 1900 MIDLAND TRAIL SUT 1&2, SHELBYVILLE, KY 40065-8141
- **Mailing address phone:** (502) 633-1007
- **Mailing address fax:** (502) 437-0624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 08/31/2016
- **Last updated:** 08/31/2016