Organization
JACOBS LADDER
Active
Organization
JACOBS LADDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANN FRIGO OT (DIRECTOR)
(219) 764-4888
Entity
Organization
Contact information
Practice address
322 W. 806N, VALPARAISO, IN 46385
(219) 764-4888
Mailing address
7105 W. 138TH AVE, CEDAR LAKE, IN 46303
(219) 916-3668
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
32002230A
IN
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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