| Organization Name: | GIDDINGS PHYSICAL THERAPY CLINIC, INC |
| NPI Number: | 1225008907 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CANDY M CLARK (OWNER) |
| Mailing Address: | 781 E Brenham Giddings |
| State: | TX US |
| Postal Code: | 78942 |
| Phone Number: | 9795420223 |
| Fax Number: | 9795421993 |
| NPI Enumeration Date: | 01/25/2006 |
| NPI Last Update Date: | 04/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |