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Organization
LIBERTY VENTURE GROUP, LLC
Active
Organization
LIBERTY VENTURE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKIE PARTHIE (OWNER)
(214) 679-7034
Entity
Organization
Contact information
Practice address
6014 45TH ST UNIT B, LUBBOCK, TX 79407-3772
(806) 780-7433
(806) 780-7434
Mailing address
6014 45TH ST UNIT B, LUBBOCK, TX 79407-3772
(806) 780-7433
(806) 780-7434
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1061984
TX
225100000X
Physical Therapist
2070918
TX
225200000X
Physical Therapy Assistant
2018420
TX
Other
Enumeration date
01/11/2011
Last updated
05/18/2011
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