Organization
THERAPY LEARNING CENTER, EAST TEXAS CLINIC
Active
Organization
THERAPY LEARNING CENTER, EAST TEXAS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE HENRY OTR (OCCUPATIONAL THERAPIST)
(214) 675-4685
Entity
Organization
Contact information
Practice address
910 HOLLY HILL LN, MOUNT PLEASANT, TX 75455-5865
(214) 675-4685
Mailing address
910 HOLLY HILL LN, MOUNT PLEASANT, TX 75455-5865
(214) 675-4685
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
112571
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3470676
—
TX
Enumeration date
01/08/2016
Last updated
01/08/2016
Update your record
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