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Organization

PARK PLAZA PHYSICAL THERAPY LIMITED PARTNERSHIP

Active
Other names
Back in Motion Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER D CORRIGAN JD (VP, AUTHORIZED OFFICIAL)
(713) 297-7000
Entity
Organization

Contact information

Practice address
4350 S NATIONAL AVE, SUITE A108, SPRINGFIELD, MO 65810-2607
(417) 823-8670
(417) 823-8625
Mailing address
4350 S NATIONAL AVE, SUITE A108, SPRINGFIELD, MO 65810-2607

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
10/10/2007
Last updated
11/02/2010
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