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Organization

ACTIVE DEVELOPMENT THERAPIES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLYN DELANE LOVING PT (PRESIDENT/ DIRECTOR OF HABILITATION)
(281) 354-3383
Entity
Organization

Contact information

Practice address
23435 FM 1314 RD STE C6, PORTER, TX 77365-7738
(281) 354-3383
(281) 354-6750
Mailing address
PO BOX 9, PORTER, TX 77365-0009
(281) 354-3383
(281) 354-6750

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
173277801
TX
Enumeration date
08/08/2006
Last updated
02/09/2026
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