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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