Organization
PEDIATRIC THERAPY PROFESSIONALS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERILYN JEAN AMAN OTRL (THERAPY COORDINATOR)
(541) 368-4313
Entity
Organization
Contact information
Practice address
111 N 20TH ST, PHILOMATH, OR 97370-9621
(541) 368-4313
Mailing address
111 N 20TH ST, PHILOMATH, OR 97370-9621
(541) 368-4313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11875
OR
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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