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Contact Information

FOOTSTEPS AND HANDPRINTS PEDIATRIC THERAPY, LLC
3000 JOE DIMAGGIO BLVD
SUITE 56
ROUND ROCK, TX78665
 Phone: 512-218-6955
 Fax: 512-367-5965
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for FOOTSTEPS AND HANDPRINTS PEDIATRIC THERAPY, LLC

NPI Number 1104114412
LBN Legal business name FOOTSTEPS AND HANDPRINTS PEDIATRIC THERAPY, LLC
Authorized official EMILY ONTIVEROS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/20/2011
Last updated 01/12/2023 - About 3 years ago
Identifiers
TX License # 1173628
TX Medicaid 1980005-02
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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