| Gracent Pediatric Therapies - Indiana, Llc | |
|
5525 Abbe Wood Dr Newburgh IN 47630-0040 | |
| (812) 483-9980 | |
| Not Available |
| Full Name | Gracent Pediatric Therapies - Indiana, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5525 Abbe Wood Dr, Newburgh, Indiana |
| Authorized Official Name and Position | Michael Mckellar (CFO) |
| Authorized Official Contact | 8655670756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gracent Pediatric Therapies - Indiana, Llc 950 Lee St Ste 105 Des Plaines IL 60016-6556 Ph: (865) 567-0756 | Gracent Pediatric Therapies - Indiana, Llc 5525 Abbe Wood Dr Newburgh IN 47630-0040 Ph: (812) 483-9980 |
| NPI Number | 1316771793 |
|---|---|
| Provider Enumeration Date | 08/28/2024 |
| Last Update Date | 10/02/2024 |
| Certification Date | 10/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316771793 | NPI | - | NPPES |
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