Organization
A DIFFERENT KIND OF PERFECT PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN ECHAVARRIA (ADMINISTRATIVE ASSISTANT)
(217) 341-1132
Entity
Organization
Contact information
Practice address
1555 W. HWY. 380, SUITE #2, DECATUR, TX 76234-5542
(817) 823-9077
Mailing address
1555 W. HWY. 380, SUITE #2, DECATUR, TX 76234-5542
(817) 823-9077
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3272809-01
—
TX
Enumeration date
08/21/2012
Last updated
01/09/2017
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