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Organization

GROUNDWORKS PEDIATRIC THERAPY LLC

Active
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Organization

GROUNDWORKS PEDIATRIC THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERICA JONES MS, OTR/L, CLC (OWNER)
(812) 449-6511
Entity
Organization

Contact information

Practice address
11420 KESTREL CT, EVANSVILLE, IN 47725-9796
(812) 449-6511
Mailing address
11420 KESTREL CT, EVANSVILLE, IN 47725-9796
(812) 449-6511

Taxonomy

Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
Primary
—
NULL
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
NULL
225XP0200X
Pediatric Occupational Therapist
—
—

Other

Enumeration date
10/26/2020
Last updated
10/26/2020
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