Organization
OPENING GAITS PEDIATRIC CENTER, PLLC
Active
Organization
OPENING GAITS PEDIATRIC CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA KAY INGRAM PT (MEMBER, OWNER, PT)
(254) 939-3112
Entity
Organization
Contact information
Practice address
6514 W US HIGHWAY 190, BELTON, TX 76513-6538
(254) 939-3112
(254) 933-9437
Mailing address
6514 W US HIGHWAY 190, BELTON, TX 76513-6538
(254) 939-3112
(254) 933-9437
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1096501
TX
Other
Enumeration date
10/04/2010
Last updated
11/01/2010
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