Organization
A 2 Y INVESTMENTS
Active
Other names
Premier Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA MOON (LEADER OF OPERATIONS, ADMIN)
(832) 539-1632
Entity
Organization
Contact information
Practice address
5604 SUMMERHILL RD STE 4, TEXARKANA, TX 75503-4652
(903) 650-8921
Mailing address
5604 SUMMERHILL RD STE 4, TEXARKANA, TX 75503-4652
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
08/30/2022
Last updated
02/13/2025
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