Organization
RISE PEDIATRIC THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAIMYN K URRUTIA (OWNER)
(713) 773-5150
Entity
Organization
Contact information
Practice address
12371 S KIRKWOOD RD STE A, STAFFORD, TX 77477-2836
(713) 773-5150
(713) 773-5250
Mailing address
12371 S KIRKWOOD RD STE A, STAFFORD, TX 77477-2836
(713) 773-5150
(713) 773-5250
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
06/19/2025
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