Organization
BODY BY PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARO WICHMAN PT, DPT, MTC (PHYSICAL THERAPIST, CEO)
(832) 620-1225
Entity
Organization
Contact information
Practice address
7777 SOUTHWEST FWY, SUITE #640, HOUSTON, TX 77074-1802
(713) 270-0477
(713) 270-7655
Mailing address
PO BOX 770211, HOUSTON, TX 77215-0211
(832) 620-1225
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1272156
TX
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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