# PREMIER PEDIATRIC THERAPY LLC

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

## Provider details

- **NPI number:** 1629965728
- **Authorized official:** MICHELLE SMITH MOT, LOTR (OWNER/THERAPIST)
- **Authorized official phone:** (318) 366-0649

## Contact information

- **Practice address:** 337 M BUNN RD, WEST MONROE, LA 71292-0215
- **Practice address phone:** (318) 366-0649
- **Mailing address:** 337 M BUNN RD, WEST MONROE, LA 71292-0215
- **Mailing address phone:** (318) 366-0649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2025
- **Last updated:** 06/20/2025