LINE LEADER PEDIATRIC THERAPY, PLLC
Restorative Service Providers at Northland Dr, Austin, TX

License number
Texas 109863
Category
Restorative Service Providers
Type
Occupational Therapist
License number
Texas 109863
Category
Restorative Service Providers
Type
Neurorehabilitation
License number
Texas 109863
Category
Restorative Service Providers
Type
Pediatrics
Owner
Name: SHARON A WISNIESKI MS-OTR
Title: OCCUPATIONAL THERAPIST
Phone: (512) 619-0303
Address
Address
3303 Northland Dr SUITE 214, Austin, TX 78731
National Provider ID: 1245462639
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LINE LEADER PEDIATRIC THERAPY, PLLC at bizstanding.com

LINE LEADER PEDIATRIC THERAPY, PLLC

Austin, TX

Industry:
Specialty Outpatient Clinic
Doing business as:
Line Leader Pediatric Therapy, Pllc
Registration:
May 14, 2009
Addresses:
11413 Shoreview Overlook, Austin, TX 78732 (Mailing)
12928 Bloomfield Hl Ln, Austin, TX 78732
State ID:
0801122996
Business type:
Domestic Limited Liability Company (LLC)
Managing Members:
Sharon Wisnieski (GOVERNING, Governing Person), 11413 Shoreview Overlook, Austin, TX 78732,Ryan Wisnieski Managing Member, inactive
Agent:
Wisnieski Sharon,11413 Shoreview Overlook, Austin, TX 78732 (Physical)
TIN:
32039530723

Line Leader Pediatric Therapy, Pllc

3724 Jefferson St, Austin, TX 78731

Industry:
Specialty Outpatient Clinic
President, Principals:
Sharon A. Wisnieski (Occupational Industrial Specialist, Principal),Wisnieski Sharon (President, Principal)

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