Blast-off Therapy Center, Pllc

NPI 1053683177 - Occupational Therapist - 225XP0200X

NPI Details
NPI 1053683177
Enumeration Date 02/05/2012
Last Updated 02/05/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name BELINDA BELINDA
Position OWNER/PRESIDENT
Phone (956) 583-0279
Fax (956) 583-0706
Practice Location
38615 MILE 7 RD UNIT 4
PENITAS TX, 78576-8474, US
Phone (956) 583-0279
Fax (956) 583-0706
Business Location
38615 MILE 7 RD UNIT 4
PENITAS TX, 78576-8474, US
Phone (956) 583-0279
Fax (956) 583-0706
Toxanomy
Taxonomy Code 225XP0200X
License State Texas
License Number 112204
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According to our database, Blast-off Therapy Center, Pllc NPI is 1053683177, taxonomy code is 225XP0200X and license number is 112204, license state is located at Texas. Blast-off Therapy Center, Pllc physically located at 38615 Mile 7 Rd Unit 4, Penitas TX, 78576-8474. NPI Number 1033115704 has the healthcare provider type.

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1053683177 NPI number is provided on an as is basis without warranty of any kind. 1053683177 is maintained by the National Plan & Provider Enumeration System. The contents of Blast-off Therapy Center, Pllc are for informational purposes only.