Organization
INNOVATIVE PEDIATRIC PARTNERS
Active
Organization
INNOVATIVE PEDIATRIC PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA KIMBERLY PARKES MOT, OTR/L (PRESIDENT/OWNER)
(412) 491-1654
Entity
Organization
Contact information
Practice address
906 PRINCETON DR, MC DONALD, PA 15057-2681
(412) 491-1654
(412) 257-3341
Mailing address
906 PRINCETON DR, MC DONALD, PA 15057-2681
(412) 491-1654
(412) 257-3341
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
OC006913L
PA
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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