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Contact Information

PEDIATRIC LINKS,LLC
7317 W JEFFERSON BLVD
FORT WAYNE, IN46804-6237
 Phone: 260-418-8051
 Fax: 260-489-3704
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Disabilities

261QD1600X
 

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for PEDIATRIC LINKS,LLC

NPI Number 1720370794
LBN Legal business name PEDIATRIC LINKS,LLC
Authorized official AGNES VIGILIA-MARAYA - (ADMINISTRATOR/OWNER/PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2011
Last updated 05/10/2011 - About 15 years ago
Identifiers
IN License # PT05002613A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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