Organization
TEXAS PHYSICAL THERAPY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHYLA BURRELL (CREDENTIALING COORDINATOR)
(888) 590-4002
Entity
Organization
Contact information
Practice address
204 S IH 35, SUITE 203, GEORGETOWN, TX 78628-4162
(512) 863-7761
(512) 863-0973
Mailing address
204 S IH 35, SUITE 203, GEORGETOWN, TX 78628-4162
(512) 863-7761
(512) 863-0973
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
620940000
TX
Other
Enumeration date
09/23/2005
Last updated
06/16/2016
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