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Organization
PREMIER PHYSICAL THERAPY, PLLC
Active
Organization
PREMIER PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA GALVE BERTRAND (PARTNER)
(817) 881-1156
Entity
Organization
Contact information
Practice address
2824 VALLEY VIEW LN, SUITE 103, DALLAS, TX 75234-4970
(817) 881-1156
Mailing address
2824 VALLEY VIEW LN, SUITE 103, DALLAS, TX 75234-4970
(817) 881-1156
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1094589
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB113719
MEDICARE PTAN
TX
Enumeration date
04/26/2010
Last updated
05/25/2011
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