Organization
JOURNEY PEDIATRIC REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY KATHERINE VILLARREAL OTR (OWNER)
(817) 416-9797
Entity
Organization
Contact information
Practice address
2100 W NORTHWEST HWY, SUITE 202, GRAPEVINE, TX 76051-7808
(817) 416-9797
(817) 416-9714
Mailing address
2100 W NORTHWEST HWY, SUITE 202, GRAPEVINE, TX 76051-7808
(817) 416-9797
(817) 416-9714
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
105728
TX
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
TX
Other
Enumeration date
04/23/2007
Last updated
09/11/2025
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