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NPI Code Detail

MEDICARE: COURTNEY THOMSON PT

MEDICARE: COURTNEY THOMSON PT
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 Therapist1193428TX

General Provider Information

NPI Number : 1629408836
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY THOMSON PT
Provider Business Mailing Address
First Line : 1301 E HOUSTON ST
Second Line :
City : BEEVILLE
State : TX
Zip : 78102-5309
Country : US
Telephone Number : 361-362-1700
Fax Number :
Provider Business Practice Location Address
First Line : 1301 E HOUSTON ST
Second Line :
City : BEEVILLE
State : TX
Zip : 78102-5309
Country : US
Telephone Number : 361-362-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2013
Last Update Date : 11/25/2013

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Directions to “ COURTNEY THOMSON PT” Practice Location

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