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Organization
UPTOWN ORTHOPEDIC MANUAL PHYSICAL THERAPY INSTITUTE INC
Active
Organization
UPTOWN ORTHOPEDIC MANUAL PHYSICAL THERAPY INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SILLIMAN PT (OWNER)
(214) 346-0677
Entity
Organization
Contact information
Practice address
3500 OAKLAWN AVENUE, SUITE 105, DALLAS, TX 75219-4374
(214) 242-8904
Mailing address
P.O. BOX 674092, DALLAS, TX 75267-4092
(972) 616-4000
(972) 294-3343
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1064827
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029ZG
BCBS
TX
Enumeration date
10/04/2013
Last updated
12/01/2017
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