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Organization

NEUROTHERAPEUTIC PEDIATRIC THERAPIES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA WATTERS ND (EXECUTIVE DIRECTOR)
(503) 263-8903
Entity
Organization

Contact information

Practice address
113 N ELM ST, CANBY, OR 97013
(503) 263-8903
(503) 266-8632
Mailing address
113 N. ELM ST, CANBY, OR 97013
(503) 263-8903
(503) 266-8632

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
106H00000X
Marriage & Family Therapist
171M00000X
Case Manager/Care Coordinator
175F00000X
Naturopath
224Z00000X
Occupational Therapy Assistant
225100000X
Physical Therapist
2251P0200X
Pediatric Physical Therapist
225X00000X
Occupational Therapist
Primary
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500769506
OR
Enumeration date
08/14/2019
Last updated
12/02/2024
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