# EGGLESTON THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hi-Line Pediatric Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063083830
- **Authorized official:** JOHANNA EGGLESTON OTR/L (PRESIDENT/OT)
- **Authorized official phone:** (208) 881-8362

## Contact information

- **Practice address:** 236 INDIANA ST, CHINOOK, MT 59523-9716
- **Practice address phone:** (406) 344-8080
- **Mailing address:** 8960 PARADISE VALLEY RD, CHINOOK, MT 59523-9387
- **Mailing address phone:** (208) 881-8362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 07/02/2021
- **Last updated:** 02/21/2023