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Organization
SUMMIT THERAPEUTIC CONCEPTS OF ENNIS LLC
Active
Organization
SUMMIT THERAPEUTIC CONCEPTS OF ENNIS LLC
Active
Other names
Peak Physical Therapy & Sports Medicine Center of Ennis
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN A COLE MSPT (OWNER)
(972) 509-5070
Entity
Organization
Contact information
Practice address
2200 PHYSICIANS BOULEVARD, STE D, ENNIS, TX 75119
(214) 369-8555
(214) 369-2683
Mailing address
PO BOX 674154, DALLAS, TX 75267-4154
(214) 369-8555
(214) 369-2683
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033SE
BCBS
TX
Enumeration date
12/10/2008
Last updated
07/29/2009
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