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Organization
PEDIATRIC THERAPY, INC.
Active
Organization
PEDIATRIC THERAPY, INC.
Active
Parent organization
PEDIATRIC THERAPY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC THERAPY, INC.
Authorized official
JAMES CLARK (VP OF OPERATIONS)
(866) 832-1708
Entity
Organization
Contact information
Practice address
4601 66TH ST STE D, LUBBOCK, TX 79414-4875
(866) 832-1708
Mailing address
4601 66TH ST STE D, LUBBOCK, TX 79414-4875
(866) 832-1708
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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