Kingdom Class Pediatric Therapy

NPI #1003101700 in Pasadena, Texas

Provider Information

NPI Number: 1003101700
Entity Type: Organization
Organization Name: Kingdom Class Pediatric Therapy
Subpart: Yes (part of a larger organization)
Parent Organization: KINGDOM CLASS LLC
Primary Specialty: In Home Supportive Care
Enumeration Date: Jun 10, 2011
Last Updated: Jun 10, 2011

Practice Location

Address: 1610 VILLLAGE TOWNHOME DR
City: Pasadena
State: Texas
ZIP Code: 77504
Phone: (979) 235-9640

Authorized Official

Name: MRS. JAENIKQUE KAYE GRIGGS, MPT, TDPT
Title: OWNER
Phone: (979) 235-9640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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