Organization
TEXAS PHYSICAL THERAPY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHYLA BURRELL (CREDENTIALING COORDINATOR)
(888) 590-4002
Entity
Organization
Contact information
Practice address
1700 E PALM VALLEY BLVD, SUITE 395, ROUND ROCK, TX 78664-4683
(512) 354-4067
(512) 354-4068
Mailing address
1700 E PALM VALLEY BLVD, SUITE 395, ROUND ROCK, TX 78664-4683
(512) 354-4067
(512) 354-4068
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
620940005
TX
Other
Enumeration date
10/05/2012
Last updated
06/16/2016
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