Creative Motion Pediatric Therapy

NPI #1679010631 in Longview, Texas

Provider Information

NPI Number: 1679010631
Entity Type: Organization
Organization Name: Creative Motion Pediatric Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Jan 27, 2017
Last Updated: Jan 27, 2017

Practice Location

Address: 5907 W MARSHALL AVE
City: Longview
State: Texas
ZIP Code: 75604-6011
Phone: (903) 759-6500

Authorized Official

Name: MARIA VALENCIA, LPC
Title: OWNER
Phone: (903) 759-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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