Organization
PROGRESSIVE PEDIATRIC THERAPY OF TX, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NENEITTE TABANI OTR (DIRECTOR)
(214) 704-9994
Entity
Organization
Contact information
Practice address
2233 DAMPTON DR, PLANO, TX 75025-2470
(214) 704-9994
(972) 208-4825
Mailing address
2233 DAMPTON DR, PLANO, TX 75025-2470
(214) 704-9994
(972) 208-4825
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
110058
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197275401
—
TX
Enumeration date
01/22/2009
Last updated
01/22/2009
Update your record
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