Space City Physical Therapy LLC

NPI #1952633711 in Webster, Texas

Provider Information

NPI Number: 1952633711
Entity Type: Organization
Organization Name: Space City Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Feb 4, 2010
Last Updated: Feb 4, 2010

Practice Location

Address: 17448 HIGHWAY 3
Address 2: SUITE 130
City: Webster
State: Texas
ZIP Code: 77598-4197
Phone: (281) 316-7160

Authorized Official

Name: LEWIS K. CLARKE, MD
Title: PRESIDENT
Phone: (281) 316-7160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Physical Therapist	225100000X	Primary

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