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Organization

IOWA PARK PHYSICAL THERAPY

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Organization

IOWA PARK PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GINA LYNETTE BLACKERBY P.T. (OWNER/PHYSICAL THERAPIST)
(940) 592-5900
Entity
Organization

Contact information

Practice address
620 WEST BANK STREET, IOWA PARK, TX 76367
(940) 592-5900
(940) 592-5969
Mailing address
620 WEST BANK, IOWA PARK, TX 76367
(940) 592-5900
(940) 592-5969

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1065332
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689679466
PROVIDER NPI
TX
Enumeration date
01/22/2008
Last updated
01/22/2008
About Stedi
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