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Organization
ROOTED PHYSICAL THERAPY, LLC
Active
Organization
ROOTED PHYSICAL THERAPY, LLC
Active
Other names
Rooted Physical Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ANN THOMPSON (OWNER)
(940) 373-7313
Entity
Organization
Contact information
Practice address
1012 HALSELL ST, BRIDGEPORT, TX 76426-3046
(940) 373-7313
Mailing address
1012 HALSELL ST, BRIDGEPORT, TX 76426-3046
(940) 373-7313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
07/20/2024
Last updated
07/20/2024
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