Organization
DS LITTLE TIGERS PEDIATRIC THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY OLIVAS PT (OWNER)
(512) 894-5005
Entity
Organization
Contact information
Practice address
14121 W HWY 290 STE 2B, AUSTIN, TX 78737-9397
(512) 894-5005
(512) 597-3212
Mailing address
561 MANCHESTER LN, AUSTIN, TX 78737-4543
(512) 644-7281
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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