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NPI Code Detail

MEDICARE: EASTGATE PHYSICAL THERAPY LIMITED PARTNERSHIP

MEDICARE: EASTGATE PHYSICAL THERAPY LIMITED PARTNERSHIP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1922213610
Entity Type Code : Organization
Provider Name (Legal Business Name) : EASTGATE PHYSICAL THERAPY LIMITED PARTNERSHIP
Provider Business Mailing Address
First Line : 1300 W SAM HOUSTON PKWY S
Second Line : SUITE 300
City : HOUSTON
State : TX
Zip : 77042-2447
Country : US
Telephone Number : 713-297-7000
Fax Number : 713-297-7090
Provider Business Practice Location Address
First Line : 155 N POINT DR
Second Line :
City : MOUNT ORAB
State : OH
Zip : 45154-8366
Country : US
Telephone Number : 937-444-2933
Fax Number : 937-444-2924
Authorized Official
Title or Position : VP, AUTHORIZED OFFICIAL
Name : JANNA KING
Credential : JD
Telephone Number : 713-297-7000
Provider Enumeration Date : 05/14/2007
Last Update Date : 08/22/2020

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Directions to “EASTGATE PHYSICAL THERAPY LIMITED PARTNERSHIP ” Practice Location

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