Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Children's Therapy Ctr, Inc

Organization Pediatric Physical Therapist · NPI 1053450742

Children's Therapy Ctr, Inc is a Pediatric Physical Therapist in Apple Valley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14635 Pennock Ave #300
Apple Valley, MN 55124-6430
Phone: (952) 997-2823
Fax: (952) 997-6931
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Pediatric Physical Therapist Taxonomy 2251P0200X (MN)
Pediatric Occupational Therapist Taxonomy 225XP0200X (MN)

Record details

NPI number1053450742
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Fuller — Owner · (651) 994-9644
NPI enumeratedFebruary 6, 2007
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023
Mailing address4058 Deerwood Trl, Eagan, MN 55122-1889

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