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Organization
ORTHOPEDIC PHYSICAL THERAPY SPECIALISTS P C
Active
Organization
ORTHOPEDIC PHYSICAL THERAPY SPECIALISTS P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCILLE E STOKES PT, OCS (VICE-PRESIDENT)
(214) 239-0990
Entity
Organization
Contact information
Practice address
7115 GREENVILLE AVE, SUITE 300, DALLAS, TX 75231-5100
(214) 239-0990
(214) 239-0991
Mailing address
PO BOX 670769, DALLAS, TX 75367-0769
(214) 239-0990
(214) 239-0991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
629130001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085DL
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/31/2006
Last updated
05/05/2008
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