Functional Rehabilitation Pediatrics, Pllc

NPI #1992240956 in Center, Texas

Provider Information

NPI Number: 1992240956
Entity Type: Organization
Organization Name: Functional Rehabilitation Pediatrics, Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Dec 30, 2016
Last Updated: Dec 30, 2016

Practice Location

Address: 169 COUNTY ROAD 1037
City: Center
State: Texas
ZIP Code: 75935-7936
Phone: (936) 591-4281

Authorized Official

Name: MIRANDA SHEA WILLIAMS, DPT
Title: OWNER
Phone: (936) 591-4281

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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