Organization
CHILDSERVE THERAPY, INC.
Active
Parent organization
CHILDSERVE INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDSERVE INC.
Authorized official
JENNIFER PAVLOVEC (DIRECTOR OF FINANCE)
(515) 727-1463
Entity
Organization
Contact information
Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
(515) 727-8757
Mailing address
PO BOX 707, JOHNSTON, IA 50131-0707
(515) 727-8750
(515) 727-8757
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
IA
225200000X
Physical Therapy Assistant
—
IA
225X00000X
Occupational Therapist
—
IA
225XP0200X
Pediatric Occupational Therapist
—
IA
231H00000X
Audiologist
—
IA
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120113
—
IA
05
—
0665091
—
IA
01
—
110061
HEALTH ALLIANCE
IA
01
—
640002508
RAILROAD MEDICARE
IA
01
—
65443
COVENTY
IA
01
—
66509
BCBS OF IOWA
IA
01
—
F245447
MIDLAND'S CHOICE
IA
Enumeration date
02/09/2007
Last updated
09/10/2020
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