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NPI Code Detail

MEDICARE: ONE ON ONE PHYSICAL THERAPY INC

MEDICARE: ONE ON ONE PHYSICAL THERAPY INC
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/Center675720000TX

General Provider Information

NPI Number : 1417373929
Entity Type Code : Organization
Provider Name (Legal Business Name) : ONE ON ONE PHYSICAL THERAPY INC
Provider Business Mailing Address
First Line : 9707 ANDERSON MILL RD STE 340
Second Line :
City : AUSTIN
State : TX
Zip : 78750-0018
Country : US
Telephone Number : 512-258-5300
Fax Number : 512-258-4475
Provider Business Practice Location Address
First Line : 9707 ANDERSON MILL RD STE 340
Second Line :
City : AUSTIN
State : TX
Zip : 78750-0018
Country : US
Telephone Number : 512-258-5300
Fax Number : 512-258-4475
Authorized Official
Title or Position : PRESIDENT
Name : SCOTT DAVID MILLEY
Credential : PTA
Telephone Number : 716-474-7248
Provider Enumeration Date : 03/07/2014
Last Update Date : 03/07/2014

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Directions to “ONE ON ONE PHYSICAL THERAPY INC ” Practice Location

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