Organization
BCM INNOVATIVE THERAPIES
Active
Organization
BCM INNOVATIVE THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA MOYER DPT (PHYSICAL THERAPIST)
(610) 737-2524
Entity
Organization
Contact information
Practice address
3728 S HWY 287, CORSICANA, TX 75109-8960
(903) 874-6315
Mailing address
3728 S HWY 287, CORSICANA, TX 75109-8960
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1249341
TX
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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