| Organization Name: | PEDIATRIC THERAPY PROFESSIONALS INC |
| NPI Number: | 1447376314 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GERILYN JEAN AMAN (THERAPY COORDINATOR) |
| Mailing Address: | 111 Ne 20th St Philomath |
| State: | OR US |
| Postal Code: | 97370 |
| Phone Number: | 5413684313 |
| Fax Number: | 5419294967 |
| NPI Enumeration Date: | 03/22/2007 |
| NPI Last Update Date: | 09/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |