Organization
SUPERIOR HOME PHYSICAL THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE INEZ WEBSTER PT DPT (OWNER)
(214) 298-3887
Entity
Organization
Contact information
Practice address
2709 MEADOW ISLE LN, DALLAS, TX 75237-3215
(214) 298-3887
(817) 977-0201
Mailing address
2709 MEADOW ISLE LN, DALLAS, TX 75237-3215
(214) 298-3887
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063804300
—
TX
Enumeration date
07/21/2020
Last updated
07/21/2020
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