Organization
CENTER FOR PEDIATRIC THERAPY INC
Active
Organization
CENTER FOR PEDIATRIC THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEA ANN JORDAN OTR (PRESIDENT)
(281) 292-4800
Entity
Organization
Contact information
Practice address
431 NURSERY RD STE A100, THE WOODLANDS, TX 77380-1918
(281) 292-4800
Mailing address
2721 N LOGRUN CIR, THE WOODLANDS, TX 77380-4010
(281) 292-4800
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1247502
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1200834-05
—
TX
Enumeration date
09/30/2014
Last updated
07/19/2021
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