Pediatric Village Home Care LLC

NPI #1932868353 in Bend, Oregon

Provider Information

NPI Number: 1932868353
Entity Type: Organization
Organization Name: Pediatric Village Home Care LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 13, 2021
Last Updated: Dec 3, 2023

Practice Location

Address: 19765 CHICORY AVE
City: Bend
State: Oregon
ZIP Code: 97702-3362
Phone: (541) 904-0166

Authorized Official

Name: HEATHER L TWEEDIE, OTR/L
Title: OWNER OTR/L
Phone: (773) 592-4444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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