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Organization
LIFE CHANGES PHYSICAL THERAPY LLC
Active
Organization
LIFE CHANGES PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA GARVIN DPT (OWNER/DOCTOR OF PHYSICAL THERAPY)
(402) 619-6222
Entity
Organization
Contact information
Practice address
719 BLUEBERRY LN, NORTHLAKE, TX 76247-1703
(402) 619-6222
Mailing address
719 BLUEBERRY LN, NORTHLAKE, TX 76247-1703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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