Organization
CUTTING EDGE PEDIATRIC THERAPY MANSFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE LUNDGREN (OWNER/CLINICAL DIRECTOR)
(469) 675-3153
Entity
Organization
Contact information
Practice address
1707 FOUNTAINVIEW DR, MANSFIELD, TX 76063-5091
(817) 752-9662
(866) 458-0728
Mailing address
1707 FOUNTAINVIEW DR, MANSFIELD, TX 76063-5091
(817) 752-9662
(866) 458-0728
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/11/2017
Last updated
06/16/2023
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