Organization
CENTER OF DEVELOPMENTAL PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BECKY LYNN MAHALEC OTR (OWNER)
(713) 977-0730
Entity
Organization
Contact information
Practice address
5757 WOODWAY DR, SUITE 202, HOUSTON, TX 77057-1514
(713) 977-0730
Mailing address
5757 WOODWAY DR, SUITE 202, HOUSTON, TX 77057-1514
(713) 977-0730
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
109365
TX
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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