MEDICARE: LET'S MOVE PEDIATRIC AND ADULT PHYSICAL 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
1	261QR0400X	Rehabilitation Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750314985
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LET'S MOVE PEDIATRIC AND ADULT PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	8427A STELLA LINK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-2915
Country	:	US
Telephone Number	:	713-218-6683
Fax Number	:	713-349-0403

Provider Business Practice Location Address
First Line	:	8427A STELLA LINK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-2915
Country	:	US
Telephone Number	:	713-218-6683
Fax Number	:	713-349-0403

Authorized Official
Title or Position	:	CO-OWNER
Name	:	GWENDOLYN L. NEAL
Credential	:	PT
Telephone Number	:	713-218-6683

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	12/31/2007

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Directions to “LET'S MOVE PEDIATRIC AND ADULT PHYSICAL THERAPY ” Practice Location

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