Organization
ADVANCED CHILDREN'S THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA M MANUEL (PRESIDENT)
(832) 260-8993
Entity
Organization
Contact information
Practice address
520 BIRDSONG DR, LEAGUE CITY, TX 77573-2548
(832) 260-8993
(832) 426-0299
Mailing address
520 BIRDSONG DR, LEAGUE CITY, TX 77573-2548
(832) 260-8993
(832) 426-0299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2045540
PHYSICAL THERAPY
TX
Enumeration date
11/20/2014
Last updated
11/20/2014
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