NPI age
16 years
Enumerated 2009-10-21
Across 16582 active physical therapist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (PA) | 002129564 | HIGHMARK BLUE SHIELD |
| 01 (PA) | PT020260 | PA STATE LICENSE |
| 05 (PA) | 1023854270001 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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