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General NPI Number Information
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NPI Number | 1548757826
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Entity Type | Organization
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Legal Business Name | FOUNDATIONS PEDIATRIC THERAPY OF HOUSTON
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Dates
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Enumeration Date | 04/22/2018
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 2310 RICHTON ST APT B
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City | HOUSTON
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State | TX
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Zip | 77098-3282
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Country | US
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Telephone | 281-772-5806
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27094
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City | HOUSTON
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State | TX
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Zip | 77227
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Country | US
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Telephone | 281-772-5806
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | DIANA DANG
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Credential | MOT, OTR/L
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Telephone | 281-772-5806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 117869
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License Number State | TX
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