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Organization
VICTORIA PHYSICAL THERAPY PC
Active
Organization
VICTORIA PHYSICAL THERAPY PC
Active
Other names
PC
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E DROST PT (PRESIDENT OF VICTORIA P T PC)
(361) 578-3513
Entity
Organization
Contact information
Practice address
601 E SAN ANTONIO, SUITE 301 W, VICTORIA, TX 77901
(361) 578-3513
(361) 578-4623
Mailing address
601 E SAN ANTONIO, SUITE 301 W, VICTORIA, TX 77901
(361) 578-3513
(361) 578-4623
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
655760000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T47Y
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/01/2006
Last updated
05/19/2016
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