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Organization
PINE TREE PHYSICAL THERAPY
Active
Organization
PINE TREE PHYSICAL THERAPY
Active
Other names
PT2
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE BRANDON BALL MSPT (OWNER/PRESIDENT)
(903) 387-0465
Entity
Organization
Contact information
Practice address
2 ALICE CIR, LONGVIEW, TX 75605-1439
(903) 387-0465
(903) 291-0637
Mailing address
2 ALICE CIR, LONGVIEW, TX 75605-1439
(903) 387-0465
(903) 291-0637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1073070
TX
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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