Organization
PEDIATRIC THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALITA NADINE STOREY M.S., CCC-SLP (SPEECH PATHOLOGIST)
(812) 306-5989
Entity
Organization
Contact information
Practice address
4605 BOARDWALK DR, SUITE C, EVANSVILLE, IN 47725-8938
(812) 306-5989
Mailing address
4605 BOARDWALK DR, SUITE C, EVANSVILLE, IN 47725-8938
(812) 306-5989
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
171683
KY
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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