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Organization
OTM HEALTH & PHYSICAL THERAPY
Active
Organization
OTM HEALTH & PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE WILLIAMS PT, DPT (PHYSICAL THERAPIST)
(903) 204-7662
Entity
Organization
Contact information
Practice address
4107 RICHMOND PL UNIT B, TEXARKANA, TX 75503-0002
(903) 204-7662
Mailing address
736 OLD BOSTON RD APT 19, TEXARKANA, TX 75501-2903
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251C2600X
Cardiopulmonary Physical Therapist
—
—
2251E1200X
Ergonomics Physical Therapist
—
—
2251H1200X
Hand Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
12/17/2024
Last updated
01/29/2025
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