Organization
BUILDING KID STEPS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LUDDEKE (OWNER)
(361) 648-8147
Entity
Organization
Contact information
Practice address
4208 RETAMA CIR, SUITE 4, VICTORIA, TX 77901-2765
(361) 578-2257
(361) 578-2260
Mailing address
4208 RETAMA CIR BLDG SUITE, VICTORIA, TX 77901-2765
(361) 578-2257
(361) 578-2260
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350736001
—
TX
Enumeration date
11/22/2013
Last updated
11/01/2019
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