Organization
A STEP AHEAD PEDIATRICS THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA RODGERS RODGERS (OWNER)
(812) 314-2378
Entity
Organization
Contact information
Practice address
2625 FOX POINTE DR STE A, COLUMBUS, IN 47203-3278
(812) 314-2378
(812) 373-7616
Mailing address
2625 FOX POINTE DR STE A, COLUMBUS, IN 47203-3278
(812) 314-2378
(812) 373-7616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
46002579A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17
—
IN
Enumeration date
04/16/2014
Last updated
04/16/2014
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