Organization
MOTOR MOUTH PEDIATRIC THERAPY SERVICES, LLC
Active
Organization
MOTOR MOUTH PEDIATRIC THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMON BEAUCHAMP OTR/L (OCCUPATIONAL THERAPIST)
(479) 675-6224
Entity
Organization
Contact information
Practice address
307 PENNINGTON DR STE A, PARIS, AR 72855-3747
(479) 675-6224
Mailing address
9401 N STATE HIGHWAY 23, MAGAZINE, AR 72943-8443
(479) 675-6224
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/05/2022
Last updated
10/08/2022
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