Organization
ICARE PEDIATRIC & ADULT THERAPY LLC
Active
Organization
ICARE PEDIATRIC & ADULT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLA JO MOON (CEO, OWNER)
(903) 908-3839
Entity
Organization
Contact information
Practice address
4062 SUMMERHILL SQ, TEXARKANA, TX 75503-2730
(903) 908-3839
Mailing address
4062 SUMMERHILL SQ, TEXARKANA, TX 75503-2730
(903) 908-3839
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1268067
TX
Other
Enumeration date
06/14/2017
Last updated
07/21/2022
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