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Organization
TEXAS PHYSICAL THERAPY SPECIALISTS
Active
Organization
TEXAS PHYSICAL THERAPY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHYLA BURRELL (CONTRACTING & CREDENTIALING MANAGER)
(888) 590-4002
Entity
Organization
Contact information
Practice address
5114 BALCONES WOODS DR, #306, AUSTIN, TX 78759-5273
(512) 794-8863
(512) 795-0688
Mailing address
12508 JONES MALTSBERGER RD, 110, SAN ANTONIO, TX 78247-4214
(888) 590-4002
(210) 590-4585
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
11/01/2006
Last updated
02/17/2017
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