Organization
ADVANCED PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT MCGOUGH (OWNER/PHYSICAL THERAPIST)
(972) 434-6024
Entity
Organization
Contact information
Practice address
724 W MAIN ST, STE 180, LEWISVILLE, TX 75067-3514
(972) 434-6024
(972) 434-2784
Mailing address
724 W MAIN ST, STE 180, LEWISVILLE, TX 75067-3514
(972) 434-6024
(972) 434-2784
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8B7472
MEDICARE PROVIDER NUMBER
—
Enumeration date
03/16/2009
Last updated
03/16/2009
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