Organization
PEDIATRIC VILLAGE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER L TWEEDIE OTR/L (OWNER OTR/L)
(773) 592-4444
Entity
Organization
Contact information
Practice address
19765 CHICORY AVE, BEND, OR 97702-3362
(541) 904-0166
(541) 312-6240
Mailing address
19765 CHICORY AVE, BEND, OR 97702-3362
(541) 904-0166
(541) 312-6240
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/03/2023
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