Organization
BODY BY PHYSICAL THERAPY PLLC
Active
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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