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Organization

PREMIER PEDIATRIC THERAPY LLC

Active
Other names
Premier Pediatric Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE SMITH MOT, LOTR (OWNER/THERAPIST)
(318) 366-0649
Entity
Organization

Contact information

Practice address
337 M BUNN RD, WEST MONROE, LA 71292-0215
(318) 366-0649
Mailing address
337 M BUNN RD, WEST MONROE, LA 71292-0215
(318) 366-0649

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
06/20/2025
Last updated
06/20/2025
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