Organization
THE PARENTING PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI WIDUCH (EXECUTIVE DIRECTOR)
(608) 784-8125
Entity
Organization
Contact information
Practice address
1500 GREEN BAY ST, LA CROSSE, WI 54601-6455
(608) 784-8125
(608) 796-0098
Mailing address
1500 GREEN BAY ST, LA CROSSE, WI 54601-6455
(608) 784-8125
(608) 796-0098
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
01/08/2019
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