Organization
FOUNDATION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER AARON HICKS PT (PHYSICAL THERAPIST, OWNER)
(940) 210-5836
Entity
Organization
Contact information
Practice address
1116 HALSELL ST, BRIDGEPORT, TX 76426-3000
(940) 393-5575
Mailing address
1116 HALSELL ST, BRIDGEPORT, TX 76426-3000
(940) 393-5575
(940) 210-0568
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1172223
TX
Other
Enumeration date
07/29/2014
Last updated
08/24/2022
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