Organization
JOES KIDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA LYNNE BAZZONI MS,PT (EXECUTIVE DIRECTOR)
(574) 376-2316
Entity
Organization
Contact information
Practice address
1692 W LAKE ST, WARSAW, IN 46580-2494
(574) 376-2316
(574) 306-2208
Mailing address
1692 W LAKE ST, WARSAW, IN 46580-2494
(574) 306-4589
(574) 306-2208
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/04/2013
Last updated
02/06/2024
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