Organization
MOTION CENTRIC FITNESS AND REHAB SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID THOMAS DIDLAKE PT, DPT, CSCS (OWNER)
(512) 817-8691
Entity
Organization
Contact information
Practice address
7780 OLD 195, FLORENCE, TX 76527-4543
(512) 817-8691
Mailing address
7780 OLD 195, FLORENCE, TX 76527-4543
(512) 817-8691
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1239100
TX
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
06/08/2017
Last updated
09/06/2023
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