Organization
PEDIATRIC THERAPY PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY WATKINS MCD, CCC-SLP (OWNER)
(318) 294-9139
Entity
Organization
Contact information
Practice address
16085 HIGHWAY 157, BENTON, LA 71006-4707
(318) 294-9139
Mailing address
16085 HIGHWAY 157, BENTON, LA 71006-4707
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7087
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2384279
—
LA
Enumeration date
08/08/2017
Last updated
08/08/2017
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