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Organization

JOURNEY PEDIATRIC REHABILITATION

Active
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Organization

JOURNEY PEDIATRIC REHABILITATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARY KATHERINE VILLARREAL OTR (OWNER)
(817) 416-9797
Entity
Organization

Contact information

Practice address
2100 W NORTHWEST HWY, SUITE 202, GRAPEVINE, TX 76051-7808
(817) 416-9797
(817) 416-9714
Mailing address
2100 W NORTHWEST HWY, SUITE 202, GRAPEVINE, TX 76051-7808
(817) 416-9797
(817) 416-9714

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
105728
TX
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
TX

Other

Enumeration date
04/23/2007
Last updated
09/11/2025
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