Organization Name: | ADVANCED PT SERVICES, INC |
NPI Number: | 1689963324 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FAITH ANN NICHOLS (SECRETARY/OWNER) |
Mailing Address: | 105 Boehm Dr Shiner |
State: | TX US |
Postal Code: | 779846288 |
Phone Number: | 3615948301 |
Fax Number: | 3615948345 |
NPI Enumeration Date: | 04/04/2011 |
NPI Last Update Date: | 03/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |