Organization
MOBILE SPINE SPECIALIST LLC
Active
Other names
Mobile Spine Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY LUM PT, MPT, DIP. MDT (PHYSICAL THERAPIST/OWNER)
(512) 559-6551
Entity
Organization
Contact information
Practice address
601 QUAIL VALLEY DR, GEORGETOWN, TX 78626-8051
(512) 559-6551
(512) 591-0789
Mailing address
601 QUAIL VALLEY DR, GEORGETOWN, TX 78626-8051
(512) 559-6551
(512) 591-0789
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2020
Last updated
11/20/2020
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