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NPI Code Detail

MEDICARE: THE CHILDREN'S THERAPY CENTER, INC.

MEDICARE: THE CHILDREN'S THERAPY CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251P0200XPediatric Physical Therapist
2235Z00000XSpeech-Language Pathologist
3225XP0200XPediatric Occupational Therapist

General Provider Information

NPI Number : 1962526590
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CHILDREN'S THERAPY CENTER, INC.
Provider Business Mailing Address
First Line : 17045 EL CAMINO REAL STE 106
Second Line :
City : HOUSTON
State : TX
Zip : 77058-2623
Country : US
Telephone Number : 281-480-5648
Fax Number : 281-480-5691
Provider Business Practice Location Address
First Line : 17045 EL CAMINO REAL STE 106
Second Line :
City : HOUSTON
State : TX
Zip : 77058-2623
Country : US
Telephone Number : 281-480-5648
Fax Number : 281-480-5691
Authorized Official
Title or Position : CO-OWNER
Name : KIM STOCKER
Credential : SLP
Telephone Number : 281-480-5648
Provider Enumeration Date : 03/19/2007
Last Update Date : 06/21/2018

Similar Medicare Providers

1366521080 — MS. MARY BASICH OTR
Practice Location Address:
17045 EL CAMINO REAL STE 106
HOUSTON, TX
77058-2623
Practice Phone: 281-480-5648
Practice Fax: 281-480-5691
1881741338 — MRS. JENNIFER FRANCISCO BALLARD M.S., CCC,SLP
Practice Location Address:
17045 EL CAMINO REAL STE 106
HOUSTON, TX
77058-2623
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1841540093 — ELIZABETH HERNANDEZ SLP, CCC
Practice Location Address:
17045 EL CAMINO REAL STE 106
HOUSTON, TX
77058-2623
Practice Phone: 281-480-5648
Practice Fax:
1558788406 — MS. MARIE WOODS-PETITTI OTR
Practice Location Address:
17045 EL CAMINO REAL STE 106
HOUSTON, TX
77058-2623
Practice Phone: 281-480-5648
Practice Fax:
1053867176 — CONNIE MILLER D'SOUZA
Practice Location Address:
17045 EL CAMINO REAL STE 106
HOUSTON, TX
77058-2623
Practice Phone: 281-480-5648
Practice Fax:
1942850482 — JENNIFER KRYSTINE RHODES MOTR/L
Practice Location Address:
17045 EL CAMINO REAL STE 106
HOUSTON, TX
77058-2623
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Practice Fax:

Directions to “THE CHILDREN'S THERAPY CENTER, INC. ” Practice Location

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