# GROUNDWORKS PEDIATRIC THERAPY LLC

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

## Provider details

- **NPI number:** 1689273195
- **Authorized official:** ERICA JONES MS, OTR/L, CLC (OWNER)
- **Authorized official phone:** (812) 449-6511

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 10/26/2020
- **Last updated:** 10/26/2020