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Organization
PEAK PHYSTHERAPY & SPORTS MED@ MICHAEL JOHNSON PERF CENTER EPPL PLLC
Active
Organization
PEAK PHYSTHERAPY & SPORTS MED@ MICHAEL JOHNSON PERF CENTER EPPL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON POE PT (PT OWNER)
(972) 569-9050
Entity
Organization
Contact information
Practice address
6051 ALMA DR, MCKINNEY, TX 75070
(972) 569-9050
(972) 569-9076
Mailing address
PO BOX 674138, DALLAS, TX 75267
(214) 369-8555
(214) 369-2683
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035QA
BCBS
TX
Enumeration date
05/21/2007
Last updated
10/31/2008
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