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Organization

ULTIMATE REHAB, PLLC

Active
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Organization

ULTIMATE REHAB, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALAINA CHRISTEN PETZOLD PT, DPT (PHYSICAL THERAPIST)
(979) 250-5135
Entity
Organization

Contact information

Practice address
1840 E STATE HIGHWAY 71, LA GRANGE, TX 78945-4625
(979) 250-5135
(979) 250-5134
Mailing address
1840 E STATE HIGHWAY 71, LA GRANGE, TX 78945-4625

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
10/17/2022
Last updated
09/06/2023
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