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Organization
ROCKWALL CENTER OF SENSORY INTEGRATION
Active
Organization
ROCKWALL CENTER OF SENSORY INTEGRATION
Active
Other names
Excel Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JEANINE THOMAS P.T. (PRESIDENT)
(972) 771-5731
Entity
Organization
Contact information
Practice address
789 JUSTIN RD, ROCKWALL, TX 75087-4840
(972) 771-5731
(972) 771-5786
Mailing address
789 JUSTIN RD, ROCKWALL, TX 75087-4840
(972) 771-5731
(972) 771-5786
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1045052
TX
225100000X
Physical Therapist
1091163
TX
225100000X
Physical Therapist
1115517
TX
225X00000X
Occupational Therapist
100136
TX
225X00000X
Occupational Therapist
110770
TX
225X00000X
Occupational Therapist
112006
TX
235Z00000X
Speech-Language Pathologist
Primary
18927
TX
235Z00000X
Speech-Language Pathologist
19586
TX
235Z00000X
Speech-Language Pathologist
19998
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0094LV
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/01/2007
Last updated
09/11/2025
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