Organization
BLUE RIVER SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J. LOWE (PRESIDENT/CEO)
(812) 738-2408
Entity
Organization
Contact information
Practice address
1365 N OLD HIGHWAY 135, CORYDON, IN 47112-2007
(812) 738-2408
(812) 738-6281
Mailing address
1365 N OLD HIGHWAY 135, P.O. BOX 547, CORYDON, IN 47112-2007
(812) 738-2408
(812) 738-6281
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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