Organization
CAPITAL SPORTS REHAB, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCALETT GONZALEZ PTA (CO-OWNER)
(214) 986-9720
Entity
Organization
Contact information
Practice address
821 GRAND AVENUE PKWY STE 402C, PFLUGERVILLE, TX 78660-2197
(512) 222-8411
Mailing address
13524 CIDERWOOD CT, MANOR, TX 78653-4108
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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