Organization
STAYWELL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC CORUM (CEO)
(512) 819-4253
Entity
Organization
Contact information
Practice address
2700 SHELL RD, GEORGETOWN, TX 78628-9237
(512) 819-4253
Mailing address
2700 SHELL RD, GEORGETOWN, TX 78628-9237
(512) 819-4253
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
08/07/2020
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