Mobile Spine Specialist LLC
NPI #1033743968 in Georgetown, Texas
Provider Information
- NPI Number
- 1033743968
- Entity Type
- Organization
- Organization Name
- Mobile Spine Specialist LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Mar 1, 2020
- Last Updated
- Nov 20, 2020
Practice Location
- Address
- 601 QUAIL VALLEY DR
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78626-8051
- Phone
- (512) 559-6551
Authorized Official
- Name
- MR. JEFFREY LUM, PT, MPT, DIP. MDT
- Title
- PHYSICAL THERAPIST/OWNER
- Phone
- (512) 559-6551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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