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Organization
KIDS THERAPY SPECIALTIES LLC
Active
Organization
KIDS THERAPY SPECIALTIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIET EILEEN MELTON PT (PHYSICAL THERAPIST PRESIDENT)
(254) 644-2423
Entity
Organization
Contact information
Practice address
4900 SANGER AVE, WACO, TX 76710-5866
(254) 848-6284
(254) 848-4193
Mailing address
4900 SANGER AVE, WACO, TX 76710-5866
(254) 848-6284
(254) 848-4193
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333160501
—
TX
Enumeration date
11/29/2006
Last updated
07/25/2022
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