Organization
PEDIATRIC THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M CLARK (VICE PRESIDENT OF OPERARATIONS)
(866) 832-1708
Entity
Organization
Contact information
Practice address
4601 66TH ST STE D, LUBBOCK, TX 79414-4875
(866) 832-1708
(888) 798-4391
Mailing address
9011 MOUNTAIN RIDGE DR STE 130, AUSTIN, TX 78759-7394
(855) 268-4098
(866) 311-9885
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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