Organization
FOOTSTEPS AND HANDPRINTS PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY ONTIVEROS PT (OWNER)
(512) 218-6955
Entity
Organization
Contact information
Practice address
3000 JOE DIMAGGIO BLVD, SUITE 56, ROUND ROCK, TX 78665
(512) 218-6955
(512) 367-5965
Mailing address
3000 JOE DIMAGGIO BLVD SUITE 56, ROUND ROCK, TX 78665
(512) 218-6955
(512) 367-5965
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1173628
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1980005-02
—
TX
Enumeration date
07/20/2011
Last updated
01/12/2023
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