Organization
PEDIPLAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA P BLAIN OTR (OWNER)
(317) 791-9031
Entity
Organization
Contact information
Practice address
6239 S EAST ST, SUITE A, INDIANAPOLIS, IN 46227-2090
(317) 791-9031
(317) 791-9001
Mailing address
6239 S EAST ST, SUITE A, INDIANAPOLIS, IN 46227-2090
(317) 791-9031
(317) 791-9001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001006 A
IN
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200731390 A
—
IN
01
—
200731390A
FIRST STEPS PROVIDER
IN
05
—
201134240A
—
IN
Enumeration date
04/04/2007
Last updated
08/19/2013
Update your record
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