Proactive Pediatric Therapy, LLC

NPI #1679121933 in Hiawatha, Iowa

Provider Information

NPI Number: 1679121933
Entity Type: Organization
Organization Name: Proactive Pediatric Therapy, LLC
Primary Specialty: Clinic/Center - Rehabilitation
Enumeration Date: Aug 29, 2019
Last Updated: Feb 26, 2020

Practice Location

Address: 1717 BOYSON RD
City: Hiawatha
State: Iowa
ZIP Code: 52233-2313
Phone: (319) 721-9333

Authorized Official

Name: LISA DOLPHIN, OT
Title: MANAGER
Phone: (319) 721-9333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Lactation Consultant, Non-RN	174N00000X
Physical Therapist - Pediatrics — Pediatrics	2251P0200X
Occupational Therapist - Feeding, Eating & Swallowing — Feeding, Eating & Swallowing	225XF0002X
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X
Speech-Language Pathologist	235Z00000X
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X	Primary

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