Children'S Therapy Ctr, Inc

LBN: Children'S Therapy Ctr, Inc
Children'S Therapy Ctr, Inc is an health care organization with primary practice located at 14635 Pennock Ave #300, Apple Valley MN 55124-6430. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Children'S Therapy Ctr, Inc can be contacted via phone (952) 997-2823, or through Fuller, Susan Ann via phone (651) 994-9644.

Contact Information

Primary practice address
14635 Pennock Ave #300 Apple Valley MN 55124-6430
Phone: (952) 997-2823
Fax: (952) 997-6931
Website:
Map and Directions
Authorized official contact:
Name: Fuller, Susan Ann OTRL
Phone: (651) 994-9644

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X Minnesota
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1053450742
LBN Legal business name Children'S Therapy Ctr, Inc
DBA Doing business as
Authorized official Fuller, Susan Ann OTRL
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Aug 10th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053450742 NPPES
Minnesota Other 962S7CH BCBS SP
Minnesota Other 521091043137 BCBS SP
Minnesota MEDICAID 043755700 BCBS SP
Minnesota Other 7610098 BCBS SP
Minnesota Other 960S0CH BCBS SP
Minnesota Other 105647 BCBS SP
Minnesota Other 965S5CH BCBS SP

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