OrganizationActive
417 Pediatric Therapy
NPI 1366106601 · Occupational Therapist · Carl Junction, MO
Provider details
- NPI number
- 1366106601
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Lisa Shallenburger, Occupational Therapist
Mailing address
420 Ruby Rd
Carl Junction, MO 64834-8449
Registry dates
- Enumerated
- 2021-10-22
- Last updated
- 2021-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.