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General NPI Number Information
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NPI Number | 1619269388
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Entity Type | Organization
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Legal Business Name | PERSONAL TOUCH THERAPY, LLC
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Dates
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Enumeration Date | 05/12/2011
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 480 N SAM HOUSTON PKWY E STE 124
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City | HOUSTON
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State | TX
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Zip | 77060-3521
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Country | US
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Telephone | 713-510-5699
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Fax | 832-932-1629
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Provider Business Mailing Address
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Address Line | 480 N SAM HOUSTON PKWY E STE 124
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City | HOUSTON
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State | TX
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Zip | 77060-3521
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Country | US
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Telephone | 713-510-5699
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Fax | 832-932-1629
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Authorized Official
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Title or Position | ADMINISTRATOR/SUPERVISING THERAPIST
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Name | MRS. SHONTAI MCMILLIAN THOMAS
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Credential | M.ED. CCC-SLP
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Telephone | 832-421-2527
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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 | 102722
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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