Organization
CENTRE OF PHYSICAL REHABILITATION
Active
Organization
CENTRE OF PHYSICAL REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. SERGE BRUNO SAITHSOOTHANE P.T. (CLINIC DIRECTOR AND OWNER)
(972) 599-9191
Entity
Organization
Contact information
Practice address
2301 COIT RD, SUITE B, PLANO, TX 75075-3773
(972) 599-9191
(972) 599-2323
Mailing address
2301 COIT RD, SUITE B, PLANO, TX 75075-3773
(972) 599-9191
(972) 599-2323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
155903
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000093JN
BCBS GROUP PROVIDER ID
TX
01
—
0027019
BLUE LINK NUMBER
TX
01
—
8T0895
BCBS PROVIDER ID
TX
Enumeration date
11/08/2005
Last updated
08/22/2020
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