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Organization
ORTHOPEDIA PHYSICAL THERAPY, LLP
Active
Organization
ORTHOPEDIA PHYSICAL THERAPY, LLP
Active
Other names
Vista Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG RETTKE PT (PRESIDENT)
(972) 529-3691
Entity
Organization
Contact information
Practice address
1121 FLOWER MOUND RD, SUITE 540, FLOWER MOUND, TX 75028-3504
(972) 355-5200
(972) 355-5800
Mailing address
5100 W ELDORADO PKWY, #102-20OPT, MCKINNEY, TX 75070-6309
(972) 355-5200
(972) 355-5800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038QA
BCBS
TX
Enumeration date
08/27/2007
Last updated
04/14/2022
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