Organization
ADVANCE THERAPY PC
Active
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
Update your record
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