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Organization
PROACTIVE PHYSICAL THERAPY CENTERS, PLLC
Active
Organization
PROACTIVE PHYSICAL THERAPY CENTERS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH STEWART BLASINGAME PT (OWNER/CEO)
(713) 436-3900
Entity
Organization
Contact information
Practice address
10223 W BROADWAY, SUITE B, PEARLAND, TX 77584-7881
(713) 436-3900
(713) 436-3904
Mailing address
10223 BROADWAY ST, SUITE B, PEARLAND, TX 77584-7880
(713) 436-3900
(713) 436-3904
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
03/01/2022
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