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Organization
SPERO REHABILITATION LLC
Active
Organization
SPERO REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN BOUCHILLION OTR (OWNER/ADMINISTRATOR)
(281) 395-9090
Entity
Organization
Contact information
Practice address
23225 KINGSLAND BLVD, SUITE 600, KATY, TX 77494-2890
(281) 395-9090
Mailing address
23225 KINGSLAND BLVD, SUITE 600, KATY, TX 77494-2890
(281) 395-9090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
668960000
TX
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
—
TX
225X00000X
Occupational Therapist
561830000
TX
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3539066
—
TX
Enumeration date
02/16/2009
Last updated
10/07/2020
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