Organization
CENTRAL INDIANA THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA FUNK (ADMINISTRATIVE ASSISTANT)
(317) 774-3377
Entity
Organization
Contact information
Practice address
18758 ROUND LAKE RD, NOBLESVILLE, IN 46060-1494
(317) 774-3765
Mailing address
PO BOX 508, NOBLESVILLE, IN 46061-0508
(317) 774-3377
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
22003274A
IN
235Z00000X
Speech-Language Pathologist
22003537A
IN
Other
Enumeration date
04/11/2007
Last updated
04/28/2008
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