Organization
GROUNDWORKS PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA JONES MS, OTR/L, CLC (OWNER)
(812) 449-6511
Entity
Organization
Contact information
Practice address
11420 KESTREL CT, EVANSVILLE, IN 47725-9796
(812) 449-6511
Mailing address
11420 KESTREL CT, EVANSVILLE, IN 47725-9796
(812) 449-6511
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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