Organization
ADVANCED PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT F MCGOUGH (PT / OWNER)
(972) 434-6024
Entity
Organization
Contact information
Practice address
724 W MAIN ST, SUITE 180, LEWISVILLE, TX 75067-3514
(972) 434-6024
(972) 434-2784
Mailing address
724 W MAIN ST, SUITE 180, LEWISVILLE, TX 75067-3514
(972) 434-6024
(972) 434-2784
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15676
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164329801
—
TX
Enumeration date
09/22/2009
Last updated
09/22/2009
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