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Organization
KATIE'S PEDIATRIC THERAPY SERVICE
Active
Organization
KATIE'S PEDIATRIC THERAPY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHRYN W. THOMAS (PHYSICAL THERAPIST AND OWNER)
(830) 203-1833
Entity
Organization
Contact information
Practice address
920 N. AVE I, SHINER, TX 77984-5296
(830) 203-1833
(361) 594-8818
Mailing address
920 N. AVE I, SHINER, TX 77984-5296
(830) 203-1833
(361) 594-8818
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1131175
TX
225X00000X
Occupational Therapist
108548
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212178201
—
TX
Enumeration date
06/12/2012
Last updated
06/13/2012
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