Organization
INNOVATIVE THERAPEUTIC SERVICES, LLC
Active
Organization
INNOVATIVE THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA ANDERSON-BALLARD MA (PRESIDENT AND SPEECH PATHOLOGIST)
(732) 649-3439
Entity
Organization
Contact information
Practice address
4 RAILROAD AVE, SOMERSET, NJ 08873-2724
(732) 649-3439
(732) 649-3441
Mailing address
4 RAILROAD AVE, SOMERSET, NJ 08873-2724
(732) 649-3439
(732) 649-3441
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
41YS00388300
NJ
Other
Enumeration date
02/28/2007
Last updated
01/30/2013
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