Organization
KIDTHERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELIETTE COHEN PT (OWNER,)
(512) 916-1511
Entity
Organization
Contact information
Practice address
4607 MANCHACA RD, AUSTIN, TX 78745-1607
(512) 916-1511
Mailing address
4607 MANCHACA RD, AUSTIN, TX 78745-1607
(512) 916-1511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/13/2007
Last updated
09/04/2024
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