Organization
CHILDREN'S THERAPY INNOVATIONS INC.
Active
Other names
CTI Aging and Rehabilitative Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYDIA B OTIATO OTR (PRESIDENT)
(574) 387-4049
Entity
Organization
Contact information
Practice address
2012 IRONWOOD CIR STE 230, SOUTH BEND, IN 46635-1889
(574) 387-4049
(574) 387-4062
Mailing address
2012 IRONWOOD CIR STE 230, SOUTH BEND, IN 46635-1889
(574) 387-4049
(574) 387-4062
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201131520A
—
IN
05
—
201234930A
—
IN
Enumeration date
10/14/2010
Last updated
12/31/2024
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