Organization
EAST TEXAS PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN M GOBER PTA (OWNER/PTA)
(214) 336-2248
Entity
Organization
Contact information
Practice address
1738 VZCR 3103, EDGEWOOD, TX 75117-5020
(214) 336-2248
(972) 534-1881
Mailing address
1738 VZCR 3103, EDGEWOOD, TX 75117-5020
(214) 336-2248
(972) 534-1881
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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