Organization
NUTRITION CONSULTANTS & ASSOCIATES LLC
Active
Other names
NCA Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY PETTIT KOVACS MS RD CD (OWNER)
(765) 620-8400
Entity
Organization
Contact information
Practice address
800 MAIN ST STE 204, ANDERSON, IN 46016-1559
(765) 644-0500
(765) 764-4051
Mailing address
800 MAIN ST STE 204, ANDERSON, IN 46016-1559
(765) 644-0500
(765) 644-0510
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37000036A
IN
225X00000X
Occupational Therapist
31002030A
IN
235Z00000X
Speech-Language Pathologist
22004386A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200732410
GROUP ID NUMBER
IN
Enumeration date
02/08/2007
Last updated
01/07/2011
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