Organization
COLE PHYSICAL THERAPY INC
Active
Organization
COLE PHYSICAL THERAPY INC
Active
Other names
Sports Medicine & Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JODY BILL BROWN PT (SECRETARY)
(830) 997-2001
Entity
Organization
Contact information
Practice address
1316 S STATE HIGHWAY 16, FREDERICKSBURG, TX 78624-5058
(830) 997-2001
(830) 997-0781
Mailing address
PO BOX 2427, FREDERICKSBURG, TX 78624-1906
(830) 997-2001
(830) 997-0781
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080806501
—
TX
Enumeration date
08/10/2006
Last updated
09/12/2014
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