Organization
CREATIVE MOTION, INC
Active
Other names
Creative Motion Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA BELL PT (OWNER)
(903) 759-6500
Entity
Organization
Contact information
Practice address
5907 W. MARSHALL AVE, LONGVIEW, TX 75604
(903) 759-6500
(903) 759-6500
Mailing address
5907 W. MARSHALL AVE, LONGVIEW, TX 75604
(903) 759-6500
(903) 759-6500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1110948
TX
225100000X
Physical Therapist
Primary
1110948
TX
225X00000X
Occupational Therapist
105205
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0631053
—
TX
Enumeration date
12/07/2009
Last updated
07/10/2010
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