Organization
IDEAL PHYSICAL THERAPY OF TEXAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE WATKINS (DIRECTOR OF CREDENTIALING)
(630) 296-2222
Entity
Organization
Contact information
Practice address
21938 ROYAL MONTREAL DR, KATY, TX 77450-5142
(281) 944-0001
(844) 671-0027
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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