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Organization
PEDIATRICS PLUS THERAPY
Active
Organization
PEDIATRICS PLUS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DENTON (CEO)
(501) 329-5459
Entity
Organization
Contact information
Practice address
6025 SPORTS VILLAGE ROAD, FRISCO, TX 75033
(214) 687-9374
Mailing address
2740 COLLEGE AVE, CONWAY, AR 72034-6141
(501) 329-5459
(501) 327-1738
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2017
Last updated
08/06/2018
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