Organization
KIDS ADVANCE REHAB SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOVITO T JORDAN JR. PHYSICAL THERAPIST (DIRECTOR)
(812) 234-6540
Entity
Organization
Contact information
Practice address
676 E SPRINGHILL DR, TERRE HAUTE, IN 47802-6804
(812) 234-6540
(812) 234-6541
Mailing address
676 E SPRINGHILL DR, TERRE HAUTE, IN 47802-6804
(812) 234-6540
(812) 234-6541
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05002904A
IN
225100000X
Physical Therapist
05002960A
IN
2251P0200X
Pediatric Physical Therapist
05002904A
IN
2251P0200X
Pediatric Physical Therapist
05002960A
IN
225200000X
Physical Therapy Assistant
06002210A
IN
225X00000X
Occupational Therapist
31001418A
IN
225X00000X
Occupational Therapist
31003318A
IN
225XP0200X
Pediatric Occupational Therapist
31001418A
IN
225XP0200X
Pediatric Occupational Therapist
31003318A
IN
235Z00000X
Speech-Language Pathologist
Primary
22002247A
IN
235Z00000X
Speech-Language Pathologist
22002410A
IN
Other
Enumeration date
12/13/2006
Last updated
09/11/2025
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