NPI age
20 years
Enumerated 2006-03-11
Across 757 active physical therapist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (IL) | 08220357 | BCBS GRP# |
| 01 (IL) | K28891 | MEDICARE # |
| 01 (IL) | 900068033 | TAX-ID# |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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