Organization
ROGUE PEDIATRIC THERAPIES, LLC
Active
Other names
ABN of More Than Words Speech Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DENELL MARTHA GALLAGHER MS, CCC-SLP (OWNER)
(541) 816-4747
Entity
Organization
Contact information
Practice address
400 EARHART ST, MEDFORD, OR 97501-7828
(541) 816-4747
(541) 787-4011
Mailing address
400 EARHART ST, MEDFORD, OR 97501-7828
(541) 816-4747
(541) 787-4011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
14054
OR
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/09/2015
Last updated
12/02/2021
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