Organization
EGGLESTON THERAPY LLC
Active
Other names
Hi-Line Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA EGGLESTON OTR/L (PRESIDENT/OT)
(208) 881-8362
Entity
Organization
Contact information
Practice address
236 INDIANA ST, CHINOOK, MT 59523-9716
(406) 344-8080
Mailing address
8960 PARADISE VALLEY RD, CHINOOK, MT 59523-9387
(208) 881-8362
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/02/2021
Last updated
02/21/2023
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