Organization
RISE PEDIATRIC THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE KINKADE (CEO)
(713) 773-5150
Entity
Organization
Contact information
Practice address
21004 NORTH FWY, SPRING, TX 77373-2917
(713) 773-5150
Mailing address
12371 S KIRKWOOD RD STE A, STAFFORD, TX 77477-2836
(713) 875-7435
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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