Organization
THERA-PLUS P.C.
Active
Organization
THERA-PLUS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL E. ASHLEY P.T. (DIRECTOR/OWNER)
(765) 348-4489
Entity
Organization
Contact information
Practice address
410 WESTWOOD DR, HARTFORD CITY, IN 47348-8828
(765) 348-4489
(765) 348-9890
Mailing address
410 WESTWOOD DR, HARTFORD CITY, IN 47348-8828
(765) 348-4489
(765) 348-9890
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
05001672A
IN
252Y00000X
Early Intervention Provider Agency
Primary
05001672A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200715480A
—
IN
Enumeration date
08/07/2008
Last updated
08/07/2008
Update your record
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