Organization
HOME GROWN PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE VANCE OTR/L (OWNER, OCCUPATIONAL THERAPIST)
(541) 643-8320
Entity
Organization
Contact information
Practice address
23429 N HIGHWAY 99W, NEWBERG, OR 97132-6865
(541) 643-8320
Mailing address
PO BOX 1, DUNDEE, OR 97115-0001
(541) 643-8320
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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