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Organization

WATCH US FARM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANICE MARIE AGARWAL PT (EXECUTIVE DIRECTOR)
(317) 590-6496
Entity
Organization

Contact information

Practice address
9906 E 200 S, ZIONSVILLE, IN 46077-9702
(317) 590-6496
Mailing address
9906 E 200 S, ZIONSVILLE, IN 46077-9702
(317) 590-6496

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
106E00000X
Assistant Behavior Analyst
164X00000X
Licensed Vocational Nurse
171M00000X
Case Manager/Care Coordinator
Primary
224Z00000X
Occupational Therapy Assistant
225100000X
Physical Therapist
225200000X
Physical Therapy Assistant
225800000X
Recreation Therapist
225A00000X
Music Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
3747P1801X
Personal Care Attendant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300063012
IN
Enumeration date
01/21/2025
Last updated
01/21/2025
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