Organization · NPI-2

113015 Therapy, PLLC

Pediatrics, Neurodevelopmental Disabilities · Houston, TX

NPI number1033575840
StatusActive
Last updated in NPPESJan 21, 2016

Details

NPI
1033575840
Entity type
Organization (NPI-2)
Legal business name
113015 Therapy, PLLC
Organization subpart
No
Enumeration date
Jan 8, 2016
Last updated
Jan 21, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0008X Pediatrics, Neurodevelopmental Disabilities––Yes

Other names

  • Pediatric Therapy Center (Doing Business As)

Practice location

8323 Southwest Fwy
Suite 101
Houston, TX 77074-1615

Phone 713-772-1400 · Fax 713-772-7116

Mailing address

8323 Southwest Fwy
Suite 101
Houston, TX 77074-1615

Phone 713-772-1400 · Fax 713-772-7116

Authorized official

Jane Knowlton
Owner
7137721400

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