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NPI Code Detail

MEDICARE: PARK PLAZA PHYSICAL THERAPY LIMITED PARTNERSHIP

MEDICARE: PARK PLAZA 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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1245333418
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARK PLAZA 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 : 4350 S NATIONAL AVE
Second Line : SUITE A108
City : SPRINGFIELD
State : MO
Zip : 65810-2607
Country : US
Telephone Number : 417-823-8670
Fax Number : 417-823-8625
Authorized Official
Title or Position : VP,AUTHORIZED OFFICIAL
Name : JANNA P. KING
Credential : JD
Telephone Number : 713-297-7000
Provider Enumeration Date : 09/06/2006
Last Update Date : 08/22/2020

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Directions to “PARK PLAZA PHYSICAL THERAPY LIMITED PARTNERSHIP ” Practice Location

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