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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