# BESPOKE THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295526416
- **Authorized official:** MIRELYS D ARCI BENCOMO (CEO)
- **Authorized official phone:** (832) 490-0210

## Contact information

- **Practice address:** 19602 AVENTINE PLANTATION DR, KATY, TX 77449-2689
- **Practice address phone:** (832) 490-0210
- **Practice address fax:** (713) 489-4056
- **Mailing address:** 19602 AVENTINE PLANTATION DR, KATY, TX 77449-2689
- **Mailing address phone:** (832) 490-0210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 05/15/2025
- **Last updated:** 05/23/2025