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Organization
JEFFREY LONGINO PHYSICAL THERAPY SERVICES LLC
Active
Organization
JEFFREY LONGINO PHYSICAL THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LONGINO (PHYSICAL THERAPIST)
(469) 288-0018
Entity
Organization
Contact information
Practice address
555 REPUBLIC DR STE 200, PLANO, TX 75074-5469
(469) 288-0018
Mailing address
5713 SAINT THOMAS DR, PLANO, TX 75094-4618
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1187388
TX
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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