Provider Demographics
NPI:1376961227
Name:APPLE PEDIATRIC THERAPY
Entity Type:Organization
Organization Name:APPLE PEDIATRIC THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR /CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:YENNY
Authorized Official - Middle Name:ANDREA
Authorized Official - Last Name:HOUSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-682-0486
Mailing Address - Street 1:7110 SHOOK AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-3826
Mailing Address - Country:US
Mailing Address - Phone:844-278-5437
Mailing Address - Fax:877-650-5817
Practice Address - Street 1:115 S MAIN ST
Practice Address - Street 2:SUITE 212-A
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-5501
Practice Address - Country:US
Practice Address - Phone:844-278-5437
Practice Address - Fax:877-650-5817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-28
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health