Organization
ADVANTAGE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEKCY HARTMAN GREGORY P.T. (PRESIDENT)
(281) 338-1378
Entity
Organization
Contact information
Practice address
618 COLE ST, WEBSTER, TX 77598-4904
(281) 338-1378
(281) 332-3144
Mailing address
618 COLE ST, WEBSTER, TX 77598-4904
(281) 338-1378
(281) 332-3144
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0078JC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/11/2007
Last updated
08/22/2020
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