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NPI Code Detail

MEDICARE: NORTH TEXAS THERAPY INNOVATIONS, PC

MEDICARE: NORTH TEXAS THERAPY INNOVATIONS, PC
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
1225XP0200XPediatric Occupational Therapist540020000TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1540020000OTHERTXSTATE LICENSE

General Provider Information

NPI Number : 1437219755
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH TEXAS THERAPY INNOVATIONS, PC
Provider Business Mailing Address
First Line : 11886 GREENVILLE AVE
Second Line : SUITE 110
City : DALLAS
State : TX
Zip : 75243-0584
Country : US
Telephone Number : 214-349-6178
Fax Number : 214-575-9898
Provider Business Practice Location Address
First Line : 11886 GREENVILLE AVE
Second Line : SUITE 110
City : DALLAS
State : TX
Zip : 75243-0584
Country : US
Telephone Number : 214-349-6178
Fax Number : 214-575-9898
Authorized Official
Title or Position : OWNER
Name : ELIZABETH L MCBRIDE
Credential : OT
Telephone Number : 214-349-6178
Provider Enumeration Date : 12/08/2006
Last Update Date : 03/08/2016

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Directions to “NORTH TEXAS THERAPY INNOVATIONS, PC ” Practice Location

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