MEDICARE: PRECISION THERAPY SERVICES

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1932409356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION THERAPY SERVICES

Provider Business Mailing Address
First Line	:	12430 NEWBROOK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-3912
Country	:	US
Telephone Number	:	832-877-4134
Fax Number	:	281-575-6506

Provider Business Practice Location Address
First Line	:	3246 ASHFIELD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2206
Country	:	US
Telephone Number	:	832-877-4134
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	GODWIN OGIAMIEN
Credential	:
Telephone Number	:	832-877-4134

Provider Enumeration Date	:	11/02/2010
Last Update Date	:	11/21/2010

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Directions to “PRECISION THERAPY SERVICES ” Practice Location

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