is a Physical Therapist in Bastrop, Texas. practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for is 1922119874. The last update date is .
's current location address is 301 Highway 71 W, Bastrop, Texas. You can contact this provider via phone number 5123219659. The mailing address for is 301 Highway 71 W, Bastrop, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 301 Highway 71 W, Bastrop, Texas |
| Phone Number | 5123219659 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1922119874 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 301 Highway 71 W |
|---|---|
| City | Bastrop |
| State | Texas (TX) |
| Post Code | 786024105 |
| Phone Number | 5123219659 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 643460000 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1171398 | TX | AMERIGROUP | |
| 0074GR | TX | BLUE CROSS | |
| 146386101 | TX | -- | |
| 7113294 | TX | AETNA |
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