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Organization
MISSOULA PEDIATRIC THERAPY CENTER INC
Active
Organization
MISSOULA PEDIATRIC THERAPY CENTER INC
Active
Other names
Kidzoola Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAMON SIMMONS OTR/L (PRESIDENT)
(312) 404-4578
Entity
Organization
Contact information
Practice address
2321 S 3RD ST W, MISSOULA, MT 59801-1332
(406) 214-3131
Mailing address
2321 S 3RD ST W, MISSOULA, MT 59801-1332
(406) 214-3131
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
NULL
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
—
NULL
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/06/2018
Last updated
09/28/2021
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