Organization
EZ PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA SONJA HENDERSON SLP- ASSISTANT (OWNER)
(832) 289-5663
Entity
Organization
Contact information
Practice address
5505 W OREM DR, SUITE 500, HOUSTON, TX 77085-1276
(832) 289-5663
Mailing address
11711 SHADOW CREEK PKWY STE 113, PEARLAND, TX 77584-7233
(832) 289-5663
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
33153
TX
Other
Enumeration date
07/28/2010
Last updated
05/10/2013
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