Organization
FUNCTIONAL INTEGRATED THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD SANDERSON (CEO)
(281) 814-5948
Entity
Organization
Contact information
Practice address
12559 SHARPS LN, MAGNOLIA, TX 77354-6198
(281) 814-5948
Mailing address
12559 SHARPS LN, MAGNOLIA, TX 77354-6198
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2050329
TX
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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