Organization
ADVANCE THERAPY PC
Active
Parent organization
ADVANCE THERAPY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCE THERAPY
Authorized official
KIM TOMPKINS (OFFICE MANAGER)
(979) 774-9958
Entity
Organization
Contact information
Practice address
3700 CROSS PARK DR, BRYAN, TX 77802-4137
(979) 774-9958
Mailing address
3700 CROSS PARK DR, BRYAN, TX 77802-4137
(979) 774-9958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1236977
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1236977
STATE LICENSE
TX
Enumeration date
08/05/2016
Last updated
08/05/2016
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