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Organization
NEW STRIDE PHYSICAL THERAPY & REHABILITATION
Active
Organization
NEW STRIDE PHYSICAL THERAPY & REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC MCCLOSKEY (COO)
(361) 949-9898
Entity
Organization
Contact information
Practice address
14302 NEMO COURT, CORPUS CHRISTI, TX 78418
(361) 949-9898
(361) 949-9897
Mailing address
PO BOX 60037, CORPUS CHRISTI, TX 78466-0037
(361) 949-9898
(361) 949-9897
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
656670000
TX
225X00000X
Occupational Therapist
553220000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020MJ
BCBS GROUP NUMBER
TX
05
—
176266801
—
TX
01
—
607708900
DEPT OF LABOR
TX
Enumeration date
04/05/2006
Last updated
04/04/2013
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