Organization
A STEP AHEAD PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WAGERS (CLINICAL DIRECTOR)
(812) 314-2378
Entity
Organization
Contact information
Practice address
420 N STATE ST STE B, NORTH VERNON, IN 47265-1040
(812) 314-2378
(812) 373-7616
Mailing address
4610 25TH ST, COLUMBUS, IN 47203-3239
(812) 314-2378
(812) 373-7616
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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