Organization Name: | MLD & PT SERVICES LLC |
NPI Number: | 1023156668 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARGARET SMART WILLIAMS (OWNER, PHYSICAL THERAPIST) |
Mailing Address: | 810 Holton St Bellaire |
State: | TX US |
Postal Code: | 774012813 |
Phone Number: | 2815466438 |
Fax Number: | 7136649051 |
NPI Enumeration Date: | 02/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 1051670 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |