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Organization
IDEAL PHYSICAL THERAPY OF TEXAS LLC
Active
Organization
IDEAL PHYSICAL THERAPY OF TEXAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE WATKINS (DIRECTOR OF CREDENTIALING)
(630) 296-2222
Entity
Organization
Contact information
Practice address
21938 ROYAL MONTREAL DR, KATY, TX 77450-5142
(281) 944-0001
(844) 671-0027
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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