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Organization

IDEAL PHYSICAL THERAPY OF TEXAS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATIE WATKINS (DIRECTOR OF CREDENTIALING)
(630) 296-2222
Entity
Organization

Contact information

Practice address
2606 W PECAN ST # 102, PFLUGERVILLE, TX 78660-1917
(512) 527-6298
(512) 548-4093
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
03/16/2022
Last updated
03/16/2022
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