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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