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Organization

PEDIATRIC THERAPY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES CLARK (VP OF OPERATIONS)
(866) 832-1708
Entity
Organization

Contact information

Practice address
1302 TEASLEY LN, DENTON, TX 76205-7946
(866) 832-1708
(888) 789-4391
Mailing address
1302 TEASLEY LN, DENTON, TX 76205-7946
(866) 832-1708
(888) 789-4391

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1255492864
TX
Enumeration date
03/23/2021
Last updated
03/23/2021
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