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Organization
FUNDAMENTAL PEDIATRIC THERAPY
Active
Organization
FUNDAMENTAL PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MELISSA SKILLERN PT, DPT (OWNER/PHYSICAL THERAPIST)
(713) 384-3135
Entity
Organization
Contact information
Practice address
938 E MYRTLE ST, ANGLETON, TX 77515-5816
(713) 384-3135
(832) 637-7499
Mailing address
24 SIGNAL HILL DR, MANVEL, TX 77578-3291
(713) 384-3135
(832) 637-7499
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/18/2021
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