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Organization
PHYSICAL THERAPY ASSOCIATES, LP
Active
Organization
PHYSICAL THERAPY ASSOCIATES, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIESL LYNN OLSON MS, PT (OWNER)
(806) 792-5522
Entity
Organization
Contact information
Practice address
3223 S LOOP 289, SUITE 101, LUBBOCK, TX 79423-8312
(806) 792-5522
(806) 785-7582
Mailing address
3223 S LOOP 289, STE 101, LUBBOCK, TX 79423-8312
(806) 792-5522
(806) 785-7582
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
653130000
TX
225X00000X
Occupational Therapist
555010000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168327801
—
TX
Enumeration date
08/20/2006
Last updated
09/23/2014
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