Organization
EAST TEXAS PEDIATRIC REHABILITATION ASSOCIATES INC
Active
Other names
EAST TEXAS CHILDREN'S THERAPY SERVICES, East Texas Childrens Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI SMITH CURRIN PT, PCS (PRESIDENT, OWNER)
(903) 520-4803
Entity
Organization
Contact information
Practice address
5040 KINSEY DR STE 500, TYLER, TX 75703-3048
(903) 509-1313
(903) 509-1383
Mailing address
5040 KINSEY DR STE 500, TYLER, TX 75703-3048
(903) 509-1313
(903) 509-1383
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
651040000
TX
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158966501
—
TX
Enumeration date
12/12/2006
Last updated
07/02/2024
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