Organization
BREAKING BARRIERS THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL LACY (OWNER)
(940) 886-7547
Entity
Organization
Contact information
Practice address
4 CANYON BLUFF CT, WICHITA FALLS, TX 76309-2613
(940) 886-7547
Mailing address
4 CANYON BLUFF CT, WICHITA FALLS, TX 76309-2613
(940) 886-7547
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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