Organization
CHILDREN'S THERAPY PLUS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY MITCHELL CLARK (OWNER)
(219) 662-7654
Entity
Organization
Contact information
Practice address
6504 E 129TH AVE, CROWN POINT, IN 46307-9087
(219) 662-7654
(219) 662-2136
Mailing address
6504 E 129TH AVE, CROWN POINT, IN 46307-9087
(219) 662-7654
(219) 662-2136
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100314490A
—
IN
01
—
200715430A
FIRST STEPS
IN
Enumeration date
06/02/2006
Last updated
08/27/2009
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