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NPI Code Detail

MEDICARE: CUSTOM PHYSICAL THERAPY LIMITED PARTNERSHIP

MEDICARE: CUSTOM 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
1225100000XPhysical Therapist
2261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1083629752
Entity Type Code : Organization
Provider Name (Legal Business Name) : CUSTOM 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 : 1610 ROBB DR STE D5
Second Line :
City : RENO
State : NV
Zip : 89523-3520
Country : US
Telephone Number : 775-746-9222
Fax Number : 775-746-9224
Authorized Official
Title or Position : VP,AUTHORIZED OFFICIAL
Name : RICHARD BINSTEIN
Credential : JD
Telephone Number : 713-297-7000
Provider Enumeration Date : 07/30/2006
Last Update Date : 09/25/2018

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Directions to “CUSTOM PHYSICAL THERAPY LIMITED PARTNERSHIP ” Practice Location

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