Organization
ON THE RUN PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL GALLARDO DPT (PHYSICAL THERAPIST, OWNER)
(815) 622-8879
Entity
Organization
Contact information
Practice address
3621 E WHITESTONE BLVD STE 400, CEDAR PARK, TX 78613-7073
(815) 622-8879
Mailing address
129 INDIAN PAINTBRUSH TRL, GEORGETOWN, TX 78628-3254
(815) 622-8879
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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