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Organization
EAST TEXAS THERAPY CENTERS, LLC
Active
Organization
EAST TEXAS THERAPY CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA L SQUIERS (VICE PRESIDENT)
(936) 633-6901
Entity
Organization
Contact information
Practice address
4100 S MEDFORD DR, STE 100, LUFKIN, TX 75901-5622
(936) 633-6901
(936) 633-6084
Mailing address
4100 S MEDFORD DR, STE 100, LUFKIN, TX 75901-5622
(936) 633-6901
(936) 633-6084
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NULL
Other
Enumeration date
07/16/2006
Last updated
08/22/2020
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