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Organization
PEDIATRIC HEALTH THERAPY, INC
Active
Organization
PEDIATRIC HEALTH THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD PENA (CEO)
(210) 251-2048
Entity
Organization
Contact information
Practice address
25315 BOERNE STAGE RD # 2, SAN ANTONIO, TX 78255-9526
(210) 251-2048
(210) 248-9088
Mailing address
25315 BOERNE STAGE ROAD #2, SAN ANTONIO, TX 78255-3142
(210) 649-0721
(210) 276-0053
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/21/2014
Last updated
05/19/2022
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