Organization
NORTHERN PEDIATRIC THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN DOWNER SLP (SPEECH LANGUAGE PATHOLOGY)
(231) 577-9421
Entity
Organization
Contact information
Practice address
19080 RIDGE VIEW LN, LAKE ANN, MI 49650-9411
(616) 706-2916
Mailing address
PO BOX 5817, TRAVERSE CITY, MI 49696-5817
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/15/2024
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