Organization
LITTLE LAND PEDIATRIC THERAPY & PLAY GYM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNIE BELTZ JR. (OWNER)
(512) 773-9182
Entity
Organization
Contact information
Practice address
13776 N HIGHWAY 183, SUITE 107, AUSTIN, TX 78750-1872
(512) 827-3601
(512) 777-5042
Mailing address
PO BOX 171273, AUSTIN, TX 78717-0043
(512) 827-3601
(512) 777-5042
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/28/2014
Last updated
12/21/2020
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