417 Pediatric Therapy

LBN: 417 Pediatric Therapy
417 Pediatric Therapy is an health care organization with primary practice located at 420 Ruby Rd , Carl Junction MO 64834-8449. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as the primary health care specialty. 417 Pediatric Therapy can be contacted via phone (417) 438-2244, or through Shallenburger, Lisa Ellen via phone (417) 438-2244.

Contact Information

Primary practice address
420 Ruby Rd Carl Junction MO 64834-8449
Phone: (417) 438-2244
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shallenburger, Lisa Ellen OTR/L
Phone: (417) 438-2244

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1366106601
LBN Legal business name 417 Pediatric Therapy
DBA Doing business as
Authorized official Shallenburger, Lisa Ellen OTR/L
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2021
Last updated Oct 22nd, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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