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Organization
RUNNIN WJ THERAPEUTIC CENTER INC
Active
Organization
RUNNIN WJ THERAPEUTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM CLEM (OWNER)
(903) 838-3223
Entity
Organization
Contact information
Practice address
4802 S KINGS HWY, TEXARKANA, TX 75501-8664
(903) 838-3223
Mailing address
4802 S KINGS HWY, TEXARKANA, TX 75501-8664
(903) 838-3223
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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