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Organization
EXTRAMILE THERAPY, LLC
Active
Organization
EXTRAMILE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE SYPERT PT (OWNER)
(512) 787-4677
Entity
Organization
Contact information
Practice address
12569 COUNTY ROAD 2803, EUSTACE, TX 75124-3920
(903) 807-0644
Mailing address
12569 COUNTY ROAD 2803, EUSTACE, TX 75124-3920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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