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Organization
RURAL REHAB PROVIDERS, LLC
Active
Organization
RURAL REHAB PROVIDERS, LLC
Active
Other names
Lott Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LOTT MN, CNS, FNP (OWNER)
(903) 388-4983
Entity
Organization
Contact information
Practice address
1026 W 2ND AVE, CORSICANA, TX 75110-3702
(903) 874-7433
(903) 389-7631
Mailing address
PO BOX 1241, CORSICANA, TX 75151-1241
(903) 389-7433
(903) 389-7631
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003GR
BCBS
TX
05
—
145100701
—
TX
Enumeration date
12/14/2006
Last updated
02/04/2025
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