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NPI Code Detail

MEDICARE: CUTTING EDGE PEDIATRIC THERAPY

MEDICARE: CUTTING EDGE PEDIATRIC THERAPY
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
1101YM0800XMental Health Counselor
2103K00000XBehavior Analyst
3225100000XPhysical Therapist
42251P0200XPediatric Physical Therapist
5225X00000XOccupational Therapist
6235Z00000XSpeech-Language Pathologist
7225XP0200XPediatric Occupational Therapist108093TX

General Provider Information

NPI Number : 1720327091
Entity Type Code : Organization
Provider Name (Legal Business Name) : CUTTING EDGE PEDIATRIC THERAPY
Provider Business Mailing Address
First Line : 900 JUNCTION DR
Second Line :
City : ALLEN
State : TX
Zip : 75013-5290
Country : US
Telephone Number : 469-675-3153
Fax Number : 469-675-3154
Provider Business Practice Location Address
First Line : 900 JUNCTION DR
Second Line :
City : ALLEN
State : TX
Zip : 75013-5290
Country : US
Telephone Number : 469-675-3153
Fax Number : 469-675-3154
Authorized Official
Title or Position : OWNER/CLINICAL DIRECTOR
Name : KATHERINE LUNDGREN
Credential :
Telephone Number : 469-675-3153
Provider Enumeration Date : 02/06/2013
Last Update Date : 06/16/2023

Similar Medicare Providers

1972195444 — MADALYN TAYLOR ENGELKING LPC
Practice Location Address:
900 JUNCTION DR
ALLEN, TX
75013-5290
Practice Phone: 469-675-3153
Practice Fax: 469-675-3154
1245392372 — KATHERINE LUNDGREN OTR
Practice Location Address:
900 JUNCTION DR
ALLEN, TX
75013-5290
Practice Phone: 469-675-3153
Practice Fax: 469-675-3154
1295967040 — MRS. MARIANN R GATTELARO M.S.
Practice Location Address:
900 JUNCTION DR
ALLEN, TX
75013-5290
Practice Phone: 469-675-3153
Practice Fax:
1679827539 — ANGELINE DENISE HEINZINGER
Practice Location Address:
900 JUNCTION DR
ALLEN, TX
75013-5290
Practice Phone: 469-675-3153
Practice Fax:
1740628684 — MS. SYDNEY JANELLE PERRICONE M.S., CCC-SLP
Practice Location Address:
900 JUNCTION DR
ALLEN, TX
75013-5290
Practice Phone: 469-675-3153
Practice Fax:
1861866956 — MEENA RAMDAS KARTHIK MSPT,C/NDT
Practice Location Address:
900 JUNCTION DR
ALLEN, TX
75013-5290
Practice Phone: 469-675-3153
Practice Fax: 469-675-3154

Directions to “CUTTING EDGE PEDIATRIC THERAPY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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