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
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