Missoula Pediatric Therapy Center INC

NPI #1891263034 in Missoula, Montana

Provider Information

NPI Number: 1891263034
Entity Type: Organization
Organization Name: Missoula Pediatric Therapy Center INC
Primary Specialty: Occupational Therapist
Enumeration Date: Nov 6, 2018
Last Updated: Sep 28, 2021

Practice Location

Address: 2321 S 3RD ST W
City: Missoula
State: Montana
ZIP Code: 59801-1332
Phone: (406) 214-3131

Authorized Official

Name: DAMON SIMMONS, OTR/L
Title: PRESIDENT
Phone: (312) 404-4578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X
Occupational Therapy Assistant	224Z00000X
Physical Therapist	225100000X
Physical Therapy Assistant	225200000X
Specialist/Technologist - Speech-Language Assistant — Speech-Language Assistant	2355S0801X
Occupational Therapist	225X00000X	Primary

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