Organization
IGNITE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS ALLEN WARNER PTA,KTS (MANAGING THERAPIST)
(860) 912-6118
Entity
Organization
Contact information
Practice address
1805 RUBEN TORRES BLVD, BROWNSVILLE, TX 78526
(830) 513-4104
Mailing address
1805 RUBEN TORRES SR BLVD STE B5, BROWNSVILLE, TX 78521-1113
(830) 513-4104
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730397928
—
MI
05
—
1942731625
—
TX
Enumeration date
05/17/2018
Last updated
05/17/2018
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