Organization
EAST TEXAS PERFORMANCE REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREE SIBILLE REYNOLDS PHYSICAL THEREPIST (PT OWNER)
(903) 247-3244
Entity
Organization
Contact information
Practice address
434 EAST LOOP 281, SUITE 103, LONGVIEW, TX 75605
(903) 247-3422
(903) 247-3424
Mailing address
434 EAST LOOP 281, SUITE 103, LONGVIEW, TX 75605
(903) 247-3422
(903) 247-3424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1033462
TX
Other
Enumeration date
09/28/2006
Last updated
04/17/2008
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