# PEDIATRIC THERAPY PROFESSIONALS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447376314
- **Authorized official:** GERILYN JEAN AMAN OTRL (THERAPY COORDINATOR)
- **Authorized official phone:** (541) 368-4313

## Contact information

- **Practice address:** 111 NE 20TH ST, PHILOMATH, OR 97370
- **Practice address phone:** (541) 368-4313
- **Practice address fax:** (541) 929-4967
- **Mailing address:** PO BOX 455, PHILOMATH, OR 97370
- **Mailing address phone:** (541) 368-4313
- **Mailing address fax:** (541) 929-4967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 09/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 247405 | — | OR |