| Organization Name: | EASTER SEALS EAST TEXAS, INC. |
| NPI Number: | 1881676393 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHERYL ALLEN (CEO) |
| Mailing Address: | 1318 Memorial Dr Bryan |
| State: | TX US |
| Postal Code: | 778025215 |
| Phone Number: | 9797762872 |
| Fax Number: | 9797761456 |
| NPI Enumeration Date: | 11/18/2005 |
| NPI Last Update Date: | 04/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 60458005 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |