Organization
ASSIDUOUS HEALTHCARE GROUP, LLC
Active
Other names
Emerging Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DANAH HAYES LPN (CEO)
(817) 627-4464
Entity
Organization
Contact information
Practice address
1300 LOWE RD UNIT 1301, MANSFIELD, TX 76063-8725
(817) 627-4464
Mailing address
1300 LOWE RD UNIT 1301, MANSFIELD, TX 76063-8725
(817) 627-4464
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/14/2020
Last updated
03/14/2020
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