Organization
212 THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BRUCE (PRESIDENT)
(409) 988-3727
Entity
Organization
Contact information
Practice address
1846 IH 10 S STE 102, BEAUMONT, TX 77707-4440
(409) 988-3727
Mailing address
1846 IH 10 S STE 102, BEAUMONT, TX 77707-4440
(409) 988-3727
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
01/28/2015
Last updated
04/28/2022
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