Organization
KIDS ABILITIES INDIANA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SARGENT PT (VICE PRESIDENT)
(651) 451-3016
Entity
Organization
Contact information
Practice address
1788 WINDWARD DR, GREENWOOD, IN 46143-8408
(651) 470-1567
Mailing address
490 HIGHWAY 96 W, SUITE 300, SHOREVIEW, MN 55126-1960
(651) 451-3016
(651) 481-7040
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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