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Organization

EAST TEXAS THERAPY CENTERS, LLC

Active
Other names
Southeast Texas Therapy Center
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LAURA L SQUIERS (VICE PRESIDENT)
(936) 633-6901
Entity
Organization

Contact information

Practice address
5925 PHELAN, SUITE 1-2, BEAUMONT, TX 77706
(409) 866-7147
(409) 866-7143
Mailing address
5925 PHELAN, SUITE 1-2, BEAUMONT, TX 77706
(409) 866-7147
(409) 866-7143

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary

Other

Enumeration date
06/16/2006
Last updated
08/22/2020
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