Pine Tree Physical Therapy

NPI #1952536849 in Longview, Texas

Provider Information

NPI Number: 1952536849
Entity Type: Organization
Organization Name: Pine Tree Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: May 20, 2009
Last Updated: May 20, 2009

Practice Location

Address: 2 ALICE CIR
City: Longview
State: Texas
ZIP Code: 75605-1439
Phone: (903) 387-0465

Authorized Official

Name: MRS. JANE BRANDON BALL, MSPT
Title: OWNER/PRESIDENT
Phone: (903) 387-0465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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