Organization
PEDIATRIC THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACI L SELL M.S. CCC-SLP, BCBA (SLP/BCBA/OWNER)
(406) 259-1680
Entity
Organization
Contact information
Practice address
708 BROADWATER AVE, BILLINGS, MT 59101-2710
(406) 259-1680
(406) 259-1777
Mailing address
1610 POLY DR, BILLINGS, MT 59102-1724
(406) 259-1680
(406) 259-1777
Taxonomy
Speciality
Code
Description
License number
State
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Enumeration date
05/29/2009
Last updated
12/19/2018
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