Organization
TWINKLE TYKES THERAPY
Active
Organization
TWINKLE TYKES THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH FERGUSON PT (OWNER - PHYSICAL THERAPIST)
(281) 682-0554
Entity
Organization
Contact information
Practice address
7703 MISTY FERN CT, HOUSTON, TX 77095-4450
(281) 682-0554
(346) 978-5755
Mailing address
7703 MISTY FERN CT, HOUSTON, TX 77095-4450
(281) 682-0554
(346) 978-5755
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1115152
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211083501
—
TX
Enumeration date
10/04/2016
Last updated
10/14/2016
Update your record
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