Healthcare Provider Details

I. General information

NPI: 1629305966
Provider Name (Legal Business Name): ACCORD CHILDREN'S THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2009
Last Update Date: 11/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1178 N MAIN ST
FRANKLIN IN
46131-1251
US

IV. Provider business mailing address

1397 PARIS DR
FRANKLIN IN
46131-8562
US

V. Phone/Fax

Practice location:
  • Phone: 812-343-2797
  • Fax: 317-738-9490
Mailing address:
  • Phone: 812-343-2797
  • Fax: 317-738-9490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. DEBRA SMITH MILLER
Title or Position: OWNER
Credential: MS, OTR
Phone: 812-343-2797