Organization
WELLNESS AND THERAPY SOLUTIONS
Active
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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