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Organization
RETURN2SPORTS PHYSICAL THERAPY
Active
Organization
RETURN2SPORTS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRETA LEIGH MCGAUGH (OFFICE ADMINISTRATOR)
(817) 891-6048
Entity
Organization
Contact information
Practice address
2835 EXCHANGE BLVD, SUITE 100, SOUTHLAKE, TX 76092-9192
(817) 891-6048
(817) 431-8264
Mailing address
2835 EXCHANGE BLVD, SUITE 100, SOUTHLAKE, TX 76092-9192
(817) 891-6048
(817) 431-8264
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1161126
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124198627
NPI
TX
Enumeration date
06/08/2011
Last updated
06/08/2011
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