Organization
WELLNESS AND THERAPY SOLUTIONS
Active
Other names
Gunter Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL MARLIN GIBSON P.T. (SECRETARY)
(903) 433-1401
Entity
Organization
Contact information
Practice address
610 N 8TH ST, SUITE 6, GUNTER, TX 75058-3586
(903) 433-1401
(903) 433-1398
Mailing address
PO BOX 247, GUNTER, TX 75058-0247
(903) 433-1401
(903) 433-1398
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1132587
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067NU
BCBS OF TEXAS
TX
Enumeration date
08/31/2006
Last updated
10/11/2007
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