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Organization

ESSENTIAL PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN STEVEN RITZ (MANAGER)
(502) 249-3156
Entity
Organization

Contact information

Practice address
1614 SLATE RUN ROAD, NEW ALBANY, IN 47150
(502) 249-3155
(812) 200-9535
Mailing address
1614 SLATE RUN ROAD, NEW ALBANY, IN 47150
(502) 249-3155
(812) 200-9535

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225700000X
Massage Therapist
225X00000X
Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
01/10/2020
Last updated
01/10/2020
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