Organization
ALOTTA THERAPY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON TAWN HARRIS ST (FACILITY MANAGER)
(765) 412-0788
Entity
Organization
Contact information
Practice address
8900 COBBLER LN, LAFAYETTE, IN 47905-7720
(765) 412-0788
Mailing address
8900 COBBLER LN, LAFAYETTE, IN 47905-7720
(765) 412-0788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009075A
IN
225X00000X
Occupational Therapist
31004248A
IN
235Z00000X
Speech-Language Pathologist
22004133A
IN
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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