Organization
AFFILIATED THERAPY GROUP PRACTICE, INC.
Active
Other names
FUNCTIONAL FOOT FITNESS
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN MARIE SCHAUSTER DPT (VICE-PRESIDENT)
(361) 853-6100
Entity
Organization
Contact information
Practice address
4738 SOUTH PADRE ISLAND DRIVE, CORPUS CHRISTI, TX 78411
(361) 853-6100
(361) 853-6106
Mailing address
4738 SOUTH PADRE ISLAND DRIVE, CORPUS CHRISTI, TX 78411
(361) 853-6100
(361) 853-6106
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1824625
—
TX
Enumeration date
02/06/2007
Last updated
08/22/2020
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