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Organization
COLE PEDIATRIC THERAPY
Active
Organization
COLE PEDIATRIC THERAPY
Active
Other names
Cole Speech and Language
Organization subpart
No
Provider details
NPI number
Authorized official
VIKKI JOHNSON SPL (SITE 3 SUPERVISOR)
(713) 598-8768
Entity
Organization
Contact information
Practice address
6701 PINEMONT DR STE 200, HOUSTON, TX 77092-3131
(832) 209-7830
Mailing address
6701 PINEMONT DR STE 200, HOUSTON, TX 77092-3131
(832) 209-7830
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
105113
TX
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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