Organization
GROW PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYLIE A STOKES (MEMBER)
(406) 431-9623
Entity
Organization
Contact information
Practice address
488 E 11TH AVE STE LL2, EUGENE, OR 97401-3601
(541) 505-8180
Mailing address
488 E 11TH AVE STE LL2, EUGENE, OR 97401-3601
(541) 359-1009
(541) 359-1039
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
07/26/2023
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