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Organization
INNOVATIVE PHYSICAL THERAPY
Active
Organization
INNOVATIVE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER NEPHEW DPT (PHYSICAL THERAPY)
(361) 855-8004
Entity
Organization
Contact information
Practice address
1605 E DEL MAR BLVD STE 14, LAREDO, TX 78041-6517
(956) 725-2882
(956) 725-2880
Mailing address
4455 SPID SUITE 8, CORPUS CHRISTI, TX 78411
(361) 855-8004
(361) 986-0751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT11145852
TX
Other
Enumeration date
08/08/2006
Last updated
08/22/2020
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