Organization
COASTAL KIDS THERAPY, PLLC
Active
Other names
Coastal Kids Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRIANA MARIE FALCON MOTR/L (OCCUPATIONAL THERAPIST)
(979) 264-9700
Entity
Organization
Contact information
Practice address
210 LAKE RD, STE. 700B, LAKE JACKSON, TX 77566-4982
(979) 480-0018
(979) 314-7364
Mailing address
210 LAKE RD, STE. 700B, LAKE JACKSON, TX 77566-4982
(979) 480-0018
(979) 314-7364
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
112729
TX
Other
Enumeration date
08/12/2015
Last updated
02/02/2016
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