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Organization
PEDIATRIC THERAPY SERVICES
Active
Organization
PEDIATRIC THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA M MANUEL (OWNER)
(832) 260-0993
Entity
Organization
Contact information
Practice address
31 N MISTY CANYON PL, THE WOODLANDS, TX 77385-3533
(832) 260-0993
Mailing address
31 N MISTY CANYON PL, THE WOODLANDS, TX 77385-3533
(832) 260-0993
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2045540
ECPTOT
TX
Enumeration date
02/26/2010
Last updated
02/26/2010
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