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Organization
HOMETOWN THERAPY, PLLC
Active
Organization
HOMETOWN THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA PAIGE PSENCIK M.S. CCC-SLP (SPEECH PATHOLOGIST)
(409) 988-3429
Entity
Organization
Contact information
Practice address
870 CENTER ST, BRIDGE CITY, TX 77611-2527
(409) 988-3429
(409) 600-8521
Mailing address
8920 HOLLIS ROAD, ORANGE, TX 77630
(409) 988-3429
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205468303
CHRISTYNA BADEAUX
TX
01
—
1346651106
OLIVIA PAIGE PSENCIK, M.S. CCC-SLP
TX
05
—
1346651106
—
TX
01
—
1770977142
ALLISON LUCE
TX
Enumeration date
10/21/2021
Last updated
07/28/2023
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