# LITTLE LAND PEDIATRIC THERAPY & PLAY GYM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902201387
- **Authorized official:** MR. ERNIE BELTZ JR. (OWNER)
- **Authorized official phone:** (512) 773-9182

## Contact information

- **Practice address:** 13776 N HIGHWAY 183, SUITE 107, AUSTIN, TX 78750-1872
- **Practice address phone:** (512) 827-3601
- **Practice address fax:** (512) 777-5042
- **Mailing address:** PO BOX 171273, AUSTIN, TX 78717-0043
- **Mailing address phone:** (512) 827-3601
- **Mailing address fax:** (512) 777-5042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 10/28/2014
- **Last updated:** 12/21/2020