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General NPI Number Information
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NPI Number | 1811159684
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Entity Type | Organization
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Legal Business Name | KIDSTEPS PEDIATRIC THERAPY CENTER, P. C.
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Dates
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Enumeration Date | 07/01/2008
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Last Update Date | 10/07/2011
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Provider Practice Location Address
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Address Line | 9595 US HIGHWAY 87 E SUITE 104-105
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City | SAN ANTONIO
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State | TX
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Zip | 78263-6106
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Country | US
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Telephone | 210-649-4700
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Fax | 210-649-4701
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Provider Business Mailing Address
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Address Line | 1233 OAKCREST DR
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City | PLEASANTON
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State | TX
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Zip | 78064-3949
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Country | US
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Telephone | 210-287-4013
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Fax | 210-649-4701
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MRS. NORA JALOWAY
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Credential | OTR
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Telephone | 210-287-4013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1043107
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 106873
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License Number State | TX
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