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Organization
KATY PROACTIVE PHYSICAL THERAPY CENTERS, LLC
Active
Organization
KATY PROACTIVE PHYSICAL THERAPY CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH BLASINGAME PT (PRESIDENT)
(281) 665-3271
Entity
Organization
Contact information
Practice address
23010 HIGHLAND KNOLLS BLVD, STE G, KATY, TX 77494-8345
(281) 665-3271
(281) 665-3273
Mailing address
3322 WATERS EDGE DR, MANVEL, TX 77578-7806
(281) 665-3271
(281) 665-3273
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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