Organization · Type 2 NPI
Hullabaloo Pediatric Therapy PLLC
Rehabilitation Clinic/Center · Palestine, TX
NPI number
1073991964
Active
Practice location
2035 Crockett Rd
Palestine, TX 75801-5921
Fax (903) 731-9573
Mailing address
311 Glenwood Dr.
Palestine, TX 75801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | 108561 (TX) |
| Physical Therapy Clinic/Center | 261QP2000X | 1099075 (TX) |
| Rehabilitation Clinic/Center Primary | 261QR0400X | 1099075 (TX) |
Rehabilitation Clinic/Center: Definition to come...
About NPI 1073991964
Hullabaloo Pediatric Therapy PLLC's National Provider Identifier is 1073991964, issued on May 11, 2015. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Palestine, TX. The record was last updated on Jan 15, 2016.