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Organization
THERAPEUTICPROS PLLC
Active
Organization
THERAPEUTICPROS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER LOUIS IBARRA (PTA/OWNER)
(903) 707-1030
Entity
Organization
Contact information
Practice address
2400 CARNATION CT, COLLEGE STATION, TX 77840-4048
(903) 707-1030
Mailing address
9900 SPECTRUM DR, AUSTIN, TX 78717-4555
(936) 228-9398
(979) 888-9874
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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