Organization
ERGONOMIC REHABILITATION OF HOUSTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN VINCENT SOPHER PT (PHYSICAL THERAPIST/CO-OWNER)
(281) 821-4200
Entity
Organization
Contact information
Practice address
283 LOCKHAVEN DR, SUITE 315, HOUSTON, TX 77073-5525
(281) 821-4200
(281) 821-4880
Mailing address
283 LOCKHAVEN DR, SUITE 315, HOUSTON, TX 77073-5525
(281) 821-4200
(281) 821-4880
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1104503
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031JC
BCBS GROUP PROV#
TX
01
—
8T0170
BCBS INDIVIDUAL PROV#
TX
Enumeration date
10/05/2005
Last updated
03/18/2008
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