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General NPI Number Information
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NPI Number | 1689094138
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Entity Type | Organization
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Legal Business Name | PROPEL PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 04/23/2014
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Last Update Date | 04/23/2014
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Provider Practice Location Address
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Address Line | 22452 STATE HIGHWAY 249
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City | HOUSTON
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State | TX
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Zip | 77070-1529
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Country | US
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Telephone | 281-455-9717
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Fax |
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Provider Business Mailing Address
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Address Line | 22452 STATE HIGHWAY 249
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City | HOUSTON
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State | TX
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Zip | 77070-1529
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Country | US
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Telephone | 281-455-9717
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER M GOERLICH
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Credential | PT
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Telephone | 281-455-9717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 1160380
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License Number State | TX
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