Source One Physical Therapy

NPI #1356746978 in Plano, Texas

Provider Information

NPI Number: 1356746978
Entity Type: Organization
Organization Name: Source One Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Oct 24, 2014
Last Updated: Oct 24, 2014

Practice Location

Address: 8080 INDEPENDENCE PKWY
Address 2: SUITE 110
City: Plano
State: Texas
ZIP Code: 75025
Phone: (469) 658-0100

Authorized Official

Name: JARROD ROGERS
Title: PRESIDENT
Phone: (214) 577-9191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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