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Organization

INVICTUS 1776, LLC

Active
Find providers by NPI
Organization

INVICTUS 1776, LLC

Active
Other names
Koala Academy Pediatric Therapies
Organization subpart
No

Provider details

NPI number
Authorized official
LAUREN RECORDS (EXECUTIVE DIRECTOR)
(832) 954-8554
Entity
Organization

Contact information

Practice address
5555 SAN FELIPE ST FL 20, HOUSTON, TX 77056-2701
(832) 954-8554
Mailing address
5555 SAN FELIPE ST FL 20, HOUSTON, TX 77056-2701
(832) 954-8554

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225100000X
Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—

Other

Enumeration date
07/15/2021
Last updated
07/15/2021
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