Organization
COOPER & BUSH PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE M BUSH (BUSINESS MANAGER)
(817) 731-9331
Entity
Organization
Contact information
Practice address
6080 SOUTHWEST BLVD, BENBROOK, TX 76109-3912
(817) 731-9331
(817) 731-9882
Mailing address
6080 SOUTHWEST BLVD, BENBROOK, TX 76109-3912
(817) 731-9331
(817) 731-9882
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
609990000
TX
225X00000X
Occupational Therapist
521500000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080584801
—
TX
01
—
1256670001
CMS REGION C DME
TX
01
—
CC7622
RAILROAD MEDICARE
TX
Enumeration date
07/04/2006
Last updated
02/25/2021
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