Organization
180 THERAPY SERVICES, PLLC
Active
Other names
Leading Edge Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CHASE AARON RANDOLPH PT (OWNER/PHYSICAL THERAPIST)
(972) 532-0448
Entity
Organization
Contact information
Practice address
422 E INTERSTATE 30 STE B, ROYSE CITY, TX 75189-3131
(972) 532-0448
(833) 358-0263
Mailing address
422 E INTERSTATE 30 STE C, ROYSE CITY, TX 75189-3131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
08/28/2024
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