Organization
REDDICK PHYSICAL THERAPY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYBIL ROCHELLE REDDICK M.D. (OWNER)
(214) 441-3046
Entity
Organization
Contact information
Practice address
2300 VALLEY VIEW LN, SUITE 1025, IRVING, TX 75062-5056
(214) 441-3046
(214) 441-3056
Mailing address
2300 VALLEY VIEW LN, SUITE 1025, IRVING, TX 75062-5056
(214) 441-3046
(214) 441-3056
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J9294
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086KD
BCBS
TX
01
—
8A9795
MEDICARE
TX
01
—
8F7937
BCBS
TX
01
—
8G1486
MEDICARE UNSPECIFED
TX
01
—
8G1887
MEDICARE ID UNSPECIFIED
TX
01
—
8J8110
BCBS
TX
Enumeration date
01/04/2008
Last updated
01/11/2008
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