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Organization

CENTER FOR PEDIATRIC THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LEA ANN JORDAN OTR (PRESIDENT)
(281) 292-4800
Entity
Organization

Contact information

Practice address
19221 INTERSTATE 45 S, SUITE 360, CONROE, TX 77385-8756
(281) 292-4800
(281) 292-9588
Mailing address
2721 N LOGRUN CIR, THE WOODLANDS, TX 77380-4010
(281) 292-4800
(281) 292-9588

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
TX
225XP0200X
Pediatric Occupational Therapist
TX
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
04/03/2007
Last updated
09/11/2025
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