Provider Demographics
NPI:1427212554
Name:CHILDREN'S EVALUATION AND THERAPY CENTER
Entity Type:Organization
Organization Name:CHILDREN'S EVALUATION AND THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANNE
Authorized Official - Middle Name:HILL
Authorized Official - Last Name:TANNREUTHER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR
Authorized Official - Phone:512-331-5488
Mailing Address - Street 1:12501 HYMEADOW DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-2263
Mailing Address - Country:US
Mailing Address - Phone:512-331-5488
Mailing Address - Fax:512-331-5489
Practice Address - Street 1:12501 HYMEADOW DR
Practice Address - Street 2:SUITE F
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-2263
Practice Address - Country:US
Practice Address - Phone:512-331-5488
Practice Address - Fax:512-331-5489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX509300000225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty