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Organization
TEXAS PHYSICAL THERAPY SPECIALISTS
Active
Organization
TEXAS PHYSICAL THERAPY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHYLA BURRELL (CREDENTIALING COORDINATOR)
(888) 590-4002
Entity
Organization
Contact information
Practice address
3303 ROGERS RD STE 220, SAN ANTONIO, TX 78251-3688
(210) 585-4270
(210) 585-4271
Mailing address
7505 N LOOP 1604 E STE 101, LIVE OAK, TX 78233-2604
(888) 590-4002
(210) 590-4585
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170506301
—
TX
05
—
422041002
—
TX
05
—
428061202
—
TX
Enumeration date
05/05/2015
Last updated
10/20/2021
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