Longview Outpatient Physical Therapy LLC

NPI #1730517004 in Longview, Texas

Provider Information

NPI Number: 1730517004
Entity Type: Organization
Organization Name: Longview Outpatient Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 24, 2013
Last Updated: Jun 13, 2019

Practice Location

Address: 3202 N 4TH ST
Address 2: SUITE 101
City: Longview
State: Texas
ZIP Code: 75605-5143
Phone: (903) 753-6635

Authorized Official

Name: JOHN FORD
Title: DIRECTOR
Phone: (903) 247-0484

Specialties & Taxonomy Codes

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

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