Organization
INVICTUS 1776, LLC
Active
Other names
Koala Academy Pediatric Therapies
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN RECORDS (EXECUTIVE DIRECTOR)
(832) 954-8554
Entity
Organization
Contact information
Practice address
5555 SAN FELIPE ST FL 20, HOUSTON, TX 77056-2701
(832) 954-8554
Mailing address
5555 SAN FELIPE ST FL 20, HOUSTON, TX 77056-2701
(832) 954-8554
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225100000X
Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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