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Organization

EAST TEXAS THERAPY CENTERS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA SQUIERS (VICE PRESIDENT)
(936) 633-6901
Entity
Organization

Contact information

Practice address
1900 NORTH WASHINGTON, LIVINGSTON, TX 77351-2105
(936) 327-5748
(936) 327-5749
Mailing address
4100 S MEDFORD DR, SUITE 100, LUFKIN, TX 75901-5622
(936) 633-6901
(936) 633-6084

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary

Other

Enumeration date
07/28/2006
Last updated
01/22/2008
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