Organization
EXPRESSION PEDIATRIC THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE M WOODWORTH MS (SPEECH-LANGUAGE PATHOLOGIST)
(509) 981-3998
Entity
Organization
Contact information
Practice address
1340 W VILLARD ST STE A, DICKINSON, ND 58601-4632
(701) 590-9116
Mailing address
2212 3RD ST W, DICKINSON, ND 58601-2414
(509) 981-3998
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/13/2020
Last updated
01/21/2024
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