Organization
TOTAL CHILD THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMYLIE SHINTO P.T. (PARTNER OWNER)
(512) 504-3035
Entity
Organization
Contact information
Practice address
407 S OLD HIGHWAY 81, KYLE, TX 78640-5310
(512) 504-3035
Mailing address
407 S OLD HIGHWAY 81, KYLE, TX 78640-5310
(512) 504-3035
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
251
TX
2251P0200X
Pediatric Physical Therapist
1132371
TX
225XP0200X
Pediatric Occupational Therapist
Primary
110097
TX
235Z00000X
Speech-Language Pathologist
101867
TX
Other
Enumeration date
02/16/2010
Last updated
06/10/2010
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