Moving Up Pediatric Therapy LLC

NPI #1730531005 in Sheridan, Wyoming

Provider Information

NPI Number: 1730531005
Entity Type: Organization
Organization Name: Moving Up Pediatric Therapy LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Jul 11, 2016
Last Updated: Jul 11, 2016

Practice Location

Address: 625 E 5TH ST
Address 2: SUITE 104
City: Sheridan
State: Wyoming
ZIP Code: 82801-3171
Phone: (307) 672-5631

Authorized Official

Name: JENNIFER W MCPHIE, OTR/L
Title: DIRECTOR/OWNER
Phone: (307) 672-5631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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