Organization
CHILDREN'S THERAPY CONNECTION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON BERTY PT, CSCS (PRESIDENT)
(317) 288-7606
Entity
Organization
Contact information
Practice address
7209 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2021
(317) 288-7606
(317) 288-7607
Mailing address
7209 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2021
(317) 288-7606
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200871500A
—
IN
Enumeration date
05/20/2008
Last updated
11/11/2022
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