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Horizons Pediatric Therapy PLLC

Clinic/Center in Liberty Hill, TX. Organization (NPI-2).

NPI number1972920122
StatusActive
Last updated in NPPESNov 22, 2023

Details

NPI
1972920122
Entity type
Organization (NPI-2)
Legal business name
Horizons Pediatric Therapy PLLC
Organization subpart
No
Enumeration date
Mar 26, 2014
Certification date
Nov 22, 2023
Last updated
Nov 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes
261QH0700X Clinic/Center, Hearing and Speech110687TX
261QD1600X Clinic/Center, Developmental Disabilities––
261QA3000X Clinic/Center, Augmentative Communication––
171W00000X Contractor––
1744G0900X Specialist, Graphics Designer––
174H00000X Health Educator––

Other names

  • Mobile Speech Clinic (Other Name)

Practice location

109 Carlina Loop
Liberty Hill, TX 78642-0025

Phone 346-531-9448 · Fax 512-988-5459

Mailing address

109 Carlina Loop
Liberty Hill, TX 78642-0025

Phone 512-884-0175

Authorized official

Tara Nicole Trott
Provider
5128840175

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