Organization
COUNTRY OUTPATIENT PHYSICAL THERAPY
Active
Organization
COUNTRY OUTPATIENT PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN A. FARMER RN (RN, ADMINISTRATOR)
(325) 347-4762
Entity
Organization
Contact information
Practice address
205 E. COLLEGE ST, MASON, TX 76856
(325) 347-9600
(325) 347-9700
Mailing address
PO BOX 1007, 205 E. COLLEGE ST, MASON, TX 76856
(325) 347-9600
(325) 347-9700
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
668460000
TX
Other
Enumeration date
06/02/2010
Last updated
08/10/2010
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