Creative Motion, INC

NPI #1104155944 in Longview, Texas

Provider Information

NPI Number: 1104155944
Entity Type: Organization
Organization Name: Creative Motion, INC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 7, 2009
Last Updated: Jul 10, 2010

Practice Location

Address: 5907 W. MARSHALL AVE
City: Longview
State: Texas
ZIP Code: 75604
Phone: (903) 759-6500

Authorized Official

Name: MRS. WANDA BELL, PT
Title: OWNER
Phone: (903) 759-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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